NPI 1972220473

Idaho Falls North of Cascadia, LLC

Organisation Skilled Nursing Facility Idaho Falls, ID

Practice location

Address: 840 E Elva St, Idaho Falls, ID 83401-2801
Phone: (208) 401-9600
Fax: (208) 314-0639
Mailing address: 2205 E Riverside Dr STE 100, Eagle, ID 83616-7621

Authorised official

Name: Owen Hammond
Title: President
Phone: (208) 401-9600

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Idaho →

Registry record

NPI: 1972220473
Entity type: Organization
NPI issued: 25 Oct 2022
Record last updated: 24 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.