Grace At Fairview Lakes Llc

LBN: Grace At Fairview Lakes Llc
Grace At Fairview Lakes Llc is an health care organization with primary practice located at 1960 N Lakes Pl , Meridian ID 83646-5939. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Grace At Fairview Lakes Llc can be contacted via phone (208) 844-8080, or through Hines, Linda via phone (208) 867-1001.

Contact Information

Primary practice address
1960 N Lakes Pl Meridian ID 83646-5939
Phone: (208) 844-8080
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hines, Linda
Phone: (208) 867-1001

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1790309045
LBN Legal business name Grace At Fairview Lakes Llc
DBA Doing business as
Authorized official Hines, Linda
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2020
Last updated Jun 2nd, 2020 - about 6 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 1790309045 NPPES
Idaho MEDICAID M8073365

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