Chardonnay Assisted Living

LBN: M Knight Inc
Chardonnay Assisted Living is an health care organization with primary practice located at 1045 Carriage Ln , Twin Falls ID 83301-6751. 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. M Knight Inc can be contacted via phone (208) 736-4808, or through Knight, Mark Alan via phone (208) 736-4808.

Contact Information

Primary practice address
1045 Carriage Ln Twin Falls ID 83301-6751
Phone: (208) 736-4808
Fax: (208) 736-4809
Website:
Map and Directions
Authorized official contact:
Name: Knight, Mark Alan PHARMD
Phone: (208) 736-4808

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X RC-961 Idaho

Profile Details

NPI number 1952614240
LBN Legal business name M Knight Inc
DBA Doing business as Chardonnay Assisted Living
Authorized official Knight, Mark Alan PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2010
Last updated Jul 15th, 2010 - about 16 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 1952614240 NPPES
Idaho MEDICAID 8082996

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