PARKWOOD MEADOWS LLC (NPI# 1932236049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932236049 |
| Entity Type | Organization |
| Organization Name | PARKWOOD MEADOWS LLC |
| Other Organization Name | PARKWOOD MEADOWS ASSISTED LIVING COMMUNITY |
| Practice Address |
1885 Parkwood St Idaho Falls ID 83401-6135 |
| Mailing Address |
7700 Ne Parkway Dr Suite 300 Vancouver WA 98662-6648 |
| Practice Telephone | 2085237800 |
| Practice Fax Number | 2085232240 |
| Mailing Telephone | 3607357155 |
| Mailing Fax Number | 3607359416 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GREGORY J VISLOCKY (MANAGING MEMBER) |
| Authorized Official Telephone | 3607357155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | RC-564 | ID | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Parkwood Meadows Assisted Living Community | Doing Business As Name - Organization |
| Street Address |
1885 PARKWOOD ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401-6135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013459882 | Tambree Meadows Assisted Living | Assisted Living Facility | 3550 Potomac Way, Idaho Falls, ID 83404-4950 | 2016-11-10 |
| 1326233917 | Assisted Living Concepts Inc | Assisted Living Facility | 3400 South 5th West, Idaho Falls, ID 83402 | 2007-09-07 |
| 1972727071 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 840 E Elva St, Idaho Falls, ID 83401-2801 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462906 | Etosha Assisted Living, Inc | Assisted Living Facility | 243 N 300 E, Rupert, ID 83350-9491 | 2020-09-20 |
| 1548886963 | Diamond View Care Properties, LLC | Assisted Living Facility | 3570 E Amity Rd, Meridian, ID 83642-7014 | 2020-06-22 |
| 1619593068 | Frontier Management, LLC | Assisted Living Facility | 10250 W Smoke Ranch Dr, Boise, ID 83709-1467 | 2020-06-22 |
| 1174149991 | Rsl Renaissance, LLC | Assisted Living Facility | 2772 W Avante Loop, Coeur D Alene, ID 83815-0333 | 2020-06-17 |
| 1891319141 | Grace At Caldwell LLC | Assisted Living Facility | 518 N 21st Ave, Caldwell, ID 83605-4368 | 2020-06-02 |
| 1790309045 | Grace At Fairview Lakes LLC | Assisted Living Facility | 1960 N Lakes Pl, Meridian, ID 83646-5939 | 2020-06-02 |
| 1164046413 | Grace Memory Care At State Street LLC | Assisted Living Facility | 9779 W State St, Boise, ID 83714-1638 | 2020-06-02 |
| 1356965693 | Grace At State Street LLC | Assisted Living Facility | 9995 W State St, Boise, ID 83714-1636 | 2020-06-02 |
| 1336763689 | Grace LLC | Assisted Living Facility | 1610 Sunnyridge Rd, Nampa, ID 83686-7401 | 2020-06-02 |
| 1447874797 | Grace At Englefield Green LLC | Assisted Living Facility | 250 S Allumbaugh Way, Boise, ID 83709-5624 | 2020-06-02 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
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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.