GRACE AT FAIRVIEW LAKES LLC


Address: 1960 N Lakes Pl, Meridian, ID 83646-5939
Phone: 2088448080

GRACE AT FAIRVIEW LAKES LLC (NPI# 1790309045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790309045
Entity Type Organization
Organization Name GRACE AT FAIRVIEW LAKES LLC
Practice Address 1960 N Lakes Pl
Meridian
ID 83646-5939
Mailing Address 890 N Cole Rd
Boise
ID 83704-8638
Practice Telephone 2088448080
Mailing Telephone 2088848080
Enumeration Date 2020-06-02
Last Update Date 2020-06-02
Authorized Official Name LINDA HINES (OWNER)
Authorized Official Telephone 2088671001
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
ID M8073365 05

Office Location

Street Address 1960 N LAKES PL
City MERIDIAN
State ID
Zip Code 83646-5939

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982202743 Jayson Paul Smith Nurse Practitioner 1545 East Leighfield Dr., Meridian, ID 83646 2020-10-14
1356977466 Tanabell Health Services Inc Assisted Living Facility 2584 E Magic View Dr, Meridian, ID 83646 2020-03-20
1801351176 Tanabell Health Services, Inc. Skilled Nursing Facility 2656 E Magicview Dr, Meridian, ID 83646 2019-01-31
1306314323 Cr Smiles - Meridian Dental Care LLC Clinic/Center 1500 W Cayuse Creek Dr, #100, Meridian, ID 83646 2018-11-07
1639644107 Joseph Anomalay Counselor 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 2018-10-10
1275015950 Mcmillan Family Dental Pllc Clinic/Center 1720 W. Mcmillan, Meridian, ID 83646 2018-08-30
1609327022 Finding Home Healthcare, Inc. Clinic/Center 55 W Willowbrook Dr Ste 103, Meridian, ID 83646 2016-10-20
1952857161 Mitchell Truong Pharmacist 622 E. Ustick Road, Caldwell, ID 83646 2016-08-28
1134511264 Brittany Laub Massage Therapist 2572 N Stokesberry Pl #300, Meridian, ID 83646 2015-02-26
1194117366 Westfall Ventures, Inc Health Maintenance Organization 2572 N. Stokesberry Pl, Meridian, ID 83646 2015-02-25
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548886963 Diamond View Care Properties, LLC Assisted Living Facility 3570 E Amity Rd, Meridian, ID 83642-7014 2020-06-22
1356977466 Tanabell Health Services Inc Assisted Living Facility 2584 E Magic View Dr, Meridian, ID 83646 2020-03-20
1508329343 Veranda Senior Living LLC Assisted Living Facility 6280 N Fox Run Way, Meridian, ID 83646-6791 2019-04-09
1225313737 Edgewood Spring Creek Ustick, LLC Assisted Living Facility 3165 Meridian Rd, Meridian, ID 83646 2011-10-15
1144537986 Alpine Meadows Assisted Living, LLC Assisted Living Facility 1695 S Locust Grove Rd, Meridian, ID 83642-6620 2010-08-31
1639406481 Arrowrock Assisted Living LLC Assisted Living Facility 1448 W Crest Wood Dr, Meridian, ID 83642-2498 2009-11-13
1376674622 Spring Creek Idaho, LLC Assisted Living Facility 175 E Calderwood Dr, Meridian, ID 83642-7482 2007-03-08
1639126493 Sunbridge Healthcare LLC Assisted Living Facility 1351 W Pine Ave, Meridian, ID 83642-5031 2006-05-27
1699251058 Meridian Healthcare, Inc. Assisted Living Facility 1351 W Pine Ave, Meridian, ID 83642-2010 2018-07-18
1891078705 Edgewood Spring Creek Meridian, LLC Assisted Living Facility 175 E Calderwood Dr, Meridian, ID 83642-7482 2011-09-27
Find all providers in MERIDIAN

Competitor

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City MERIDIAN
Zip Code 83646

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Dataset Information

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.

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