PREFERRED COMMUNITY HOMES, LLC (NPI# 1689989816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689989816 |
| Entity Type | Organization |
| Organization Name | PREFERRED COMMUNITY HOMES, LLC |
| Other Organization Name | RES HAB BEHAVIOR CONSULTATION |
| Practice Address |
440 W Pennwood St Ste 200 Meridian ID 83642-8602 |
| Mailing Address |
3155 River Rd S Ste 100 Salem OR 97302-9819 |
| Practice Telephone | 2088559148 |
| Practice Fax Number | 2088842164 |
| Mailing Telephone | 5033625235 |
| Mailing Fax Number | 5035853267 |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |
| Authorized Official Name | JASON MCARTHUR (CFO) |
| Authorized Official Telephone | 5033625235 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 001036235 | ID | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806849802 | 05 | |
| ID | M8068498-002 | 05 | |
| ID | 806849801 | 05 | |
| ID | M8068498-001 | 05 | |
| ID | 806849800 | 05 | |
| ID | M8068498 | 05 |
| Other Name | Type Code |
|---|---|
| Res Hab Behavior Consultation | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902027303 | Preferred Community Homes, LLC | Nursing Care | 7091 W Emerald St, Boise, ID 83704-8618 | 2007-05-01 |
| 1205970399 | Preferred Community Homes, LLC | Intermediate Care Facility, Mentally Retarded | 1230 E Cougar Creek Dr, Meridian, ID 83642-7807 | 2007-02-20 |
| 1104960707 | Preferred Community Homes, LLC | Intermediate Care Facility, Mentally Retarded | 699 S Otter Ave, Meridian, ID 83642-6144 | 2007-02-16 |
| 1154508471 | Preferred Community Homes, LLC | Case Management | 7091 W Emerald St, Boise, ID 83704-8618 | 2008-01-29 |
| Street Address |
440 W PENNWOOD ST STE 200 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-8602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518272749 | Preferred Community Homes LLC | Nursing Care | 440 W Pennwood St Ste 200, Meridian, ID 83642-8602 | 2010-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376196246 | Tina M Thomas | Community/Behavioral Health | 3800 W Perugia St Apt W204, Meridian, ID 83642-4973 | 2019-07-19 |
| 1023483211 | The Family Table, Inc. | Community/Behavioral Health | 1005 E Franklin Rd, Meridian, ID 83642-5951 | 2015-12-14 |
| 1972987543 | Maitri Community Services | Community/Behavioral Health | 3709 N Locust Grove Rd, Suite 100, Meridian, ID 83646-6449 | 2015-07-14 |
| 1417210154 | Langston Jett Enterprises, LLC | Community/Behavioral Health | 3512 36th Ave, Meridian, MS 39307-3603 | 2012-06-18 |
| 1619293222 | Access Living | Community/Behavioral Health | 690 S Industry Way Ste 45, Meridian, ID 83642-7907 | 2010-04-08 |
| 1992035364 | Mountain View Behavioral Health, Pllc | Community/Behavioral Health | 3138 W Mirage Ct, Meridian, ID 83646-4127 | 2010-01-07 |
| 1316272248 | Journey Mental Health | Community/Behavioral Health | 2525 N Stokesberry Pl Ste A, Meridian, ID 83646-1144 | 2009-10-09 |
| 1912136466 | Adams Center for Counseling LLC | Community/Behavioral Health | 2525 N Stokesberry Pl, Suite A, Meridian, ID 83646-1502 | 2009-07-06 |
| 1851413314 | Inroads Inc. | Community/Behavioral Health | 3288 E Pine Ave, Meridian, ID 83642 | 2007-04-04 |
| 1013055532 | Best of Both Worlds Addiction Center, Inc. | Community/Behavioral Health | 8364 Ham Rd, Meridian, MS 39305-9440 | 2007-02-05 |
| Find all providers in MERIDIAN | ||||
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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.