Tambree Meadows Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

RC-1129 Issued in ID

Legal business name

TAMBREE MEADOWS ASSISTED LIVING

Practice address

3550 Potomac Way
Idaho Falls, ID 83404-4950

Phone

(208) 522-1922

Fax

(775) 307-4049

NPI assigned

Nov 10, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Troy V Bell

Title

Ceo

Phone

(208) 221-0481

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1013459882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 POTOMAC WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044950",
            "telephone_number": "208-522-1922",
            "fax_number": "775-307-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 POTOMAC WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044950",
            "telephone_number": "208-522-1922",
            "fax_number": "775-307-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMBREE MEADOWS ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-221-0481"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ID",
            "license": "RC-1129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RC-1129",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tall Family Physical Therapy PLLC
• Jacob Tall
• Mark Asael Tall, DDS
• Michael Aldon Tall, D.D.S.
• Roger H Tall, MD
• Steven Adam Tank, MD
• Matt Tannenbaum, MD
• Nicholas J Tanner, D.D.S.
• Shahzaib Tariq, MD
• Emma Lianne Tarr

• Assisted Living Facility in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Assisted Living Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.