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COMMUNICARE INC. NPI 1356569362


NPI Information

NPI: 1356569362
Provider Name: COMMUNICARE, INC.

Other Name: COMMUNICARE RESHAB

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization

CLIA Number: 13D0885724

Address:
40 W FRANKLIN RD
SUITE F
MERIDIAN, ID
ZIP 83642
Phone: (208) 888-1155
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COMMUNICARE, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Meridian, ID. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. COMMUNICARE, INC. NPI is 1356569362. The provider is registered as an organization entity type.
The provider Other Name Is Communicare Reshab.

The provider's business location address is:

40 W FRANKLIN RD
SUITE F
MERIDIAN, ID
ZIP 83642-965
Phone: (208) 888-1155
Fax: (208) 888-1156

The provider's authorized official is Thomas F Whittemore .
The authorized official title is Administrator and has the following contact phone number (208) 888-1155.

The CLIA number assigned to this NPI record is 13D0885724 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities000IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18041624MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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