ELKS REHAB (NPI# 1669819496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669819496 |
| Entity Type | Organization |
| Organization Name | ELKS REHAB |
| Practice Address |
405 W Myrtle St Boise ID 83702-7658 |
| Practice Telephone | 2084895880 |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |
| Authorized Official Name | JOHN WELSH (ENROLMENT SPEACIALIST) |
| Authorized Official Telephone | 2084894635 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 908 | ID | Hospital Units |
| Street Address |
405 W MYRTLE ST |
| City | BOISE |
| State | ID |
| Zip Code | 83702-7658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114257524 | Beth Anne Jacob | Occupational Therapist | 405 W Myrtle St, Boise, ID 83702-7658 | 2010-01-06 |
| 1902279136 | Shanna Marie Herman | Physical Therapist | 405 W Myrtle St, Boise, ID 83702-7658 | 2015-11-10 |
| 1063888188 | Kristin G Booton | Speech-Language Pathologist | 405 W Myrtle St, Boise, ID 83702-7658 | 2015-08-12 |
| 1922435080 | Kelly O'leary | Speech-Language Pathologist | 405 W Myrtle St, Boise, ID 83702-7658 | 2013-10-03 |
| 1548697006 | St. Luke's Elks Childrens Rehab | Rehabilitation Hospital | 405 W Myrtle St, Boise, ID 83702-7658 | 2013-09-30 |
| 1265870216 | St. Luke's Elks Rehab | Rehabilitation Unit | 405 W Myrtle St, Boise, ID 83702-7658 | 2013-06-12 |
| 1518305663 | Lizabeth Gardner | Physical Therapist | 405 W Myrtle St, Boise, ID 83702-7658 | 2013-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730505199 | St Lukes Regional Medical Center | Rehabilitation Unit | 600 N Robbins Rd, Boise, ID 83702-4565 | 2014-03-10 |
| 1265870216 | St. Luke's Elks Rehab | Rehabilitation Unit | 405 W Myrtle St, Boise, ID 83702-7658 | 2013-06-12 |
| 1316960354 | Saint Alphonsus Regional Medical Center Inc | Rehabilitation Unit | 1055 N Curtis Rd, Boise, ID 83706-1309 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285833343 | St Lukes Magic Valley Regional Medical Center Ltd | Rehabilitation Unit | 775 Pole Line Road West, Suite 307, Twin Falls, ID 83301 | 2007-07-17 |
| 1659476455 | Kootenai Health | Rehabilitation Unit | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2006-09-14 |
| 1144262114 | Portneuf Rehab Center | Rehabilitation Unit | 777 Hospital Way, Pocatello, ID 83201-5175 | 2006-06-12 |
| 1952355935 | Eastern Idaho Health Services, Inc. | Rehabilitation Unit | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2006-05-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.