Coeur D Alene Homes Phase Ii

LBN: Coeur D Alene Homes Phase Ii
Coeur D Alene Homes Phase Ii is an health care organization with primary practice located at 624 W Harrison Ave , Coeur D Alene ID 83814-5286. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, which is considered as the primary health care specialty. Coeur D Alene Homes Phase Ii can be contacted via phone (208) 664-8119, or through Hart, Austin via phone (208) 664-8119.

Contact Information

Primary practice address
624 W Harrison Ave Coeur D Alene ID 83814-5286
Phone: (208) 664-8119
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hart, Austin
Phone: (208) 664-8119

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X

Profile Details

NPI number 1306459599
LBN Legal business name Coeur D Alene Homes Phase Ii
DBA Doing business as
Authorized official Hart, Austin
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2020
Last updated Aug 26th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306459599 NPPES
Idaho MEDICAID M8075669

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