Northern Idaho Advanced Care Hospital Inc
Organization Active NPI Long Term Care Hospital · Post Falls, ID
NPI 1023079092 · NPPES record last updated Nov 14, 2025
Key facts
- NPI
- 1023079092
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Hospital 282E00000X
- License
- 67 (ID)
- Legal business name
- NORTHERN IDAHO ADVANCED CARE HOSPITAL INC
- Practice address
- 600 N Cecil Rd
Post Falls, ID 83854-6200 - Phone
- (208) 262-2800
- Fax
- (550) 892-2442
- NPI assigned
- Mar 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Denise Kann
- Title
- VP & Secretary
- Phone
- (602) 432-2809
Owners & managing parties with NPI records 2
Other NPIs with the same Medicare PAC ID 1
Member of 1
Facilities with the same owner 45
Practitioners 1
-
Kevin J Chang, M.D.
Affiliated clinicians 16
-
Lyudmila Burkart, DO
-
Kevin J Chang, M.D.
-
Grant Drake, D.O.
-
Sherwin S. Foster, M.D.
-
Kristy Handyside, APRN, WCC
-
Shaun K Joshi, MD
-
Amanda Rose Liggett, M.D.
-
Jenna Lois Ludwig, ACNPC-AG
-
Robert Scoggins, M.D., PH.D.
-
Jeannette Zinggeler Berg, MD, PHD
-
Elizabeth Spaetzel, AGACNP
-
Elliott Jay Wagner, M.D.
Medicare Care Compare: Long-term care hospital
- Listed as
- Northern Idaho Advanced Care Hospital
- Ownership
- For profit
- Certified
- Oct 1, 2006
- Medicare certification status
- Active
- Beds
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Hospital certification: CCN 132001
- Legal name
- NORTHERN IDAHO ADVANCED CARE HOSPITAL INC
- Doing business as
- NORTHERN IDAHO ADVANCED CARE HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Long-term
- Participating since
- Oct 1, 2006
- Last certification
- Apr 10, 2025
- Beds
- 40
- Ownership / control type
- Private (for profit)
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 600 N Cecil Rd
Post Falls, ID 83854-6200 - Hospital subgroups
- Long-term
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| MPT of Post Falls, LLC |
5% Or Greater Security Interest | Jan 1, 2019 | 30.2% |
| Jacob S Socha |
Corporate Officer |
Jun 1, 2023 | |
| One Equity Partners VII-B LP |
5% Or Greater Indirect Ownership Interest | Nov 18, 2025 | 9.3% |
| Ernest Health, Inc |
5% Or Greater Direct Ownership Interest | Nov 2, 2005 | 75% |
| Epoch Parent Inc |
5% Or Greater Indirect Ownership Interest | Oct 4, 2018 | 75% |
| One Equity Partners VII LP |
5% Or Greater Indirect Ownership Interest | Nov 18, 2025 | 43.5% |
| Epoch Parent Holdings LLC |
5% Or Greater Indirect Ownership Interest | Oct 4, 2018 | 75% |
| Kootenai Health, Inc. |
5% Or Greater Direct Ownership Interest | Sep 1, 2025 | 25% |
| Ernest Health Holdings LLC |
5% Or Greater Indirect Ownership Interest | Feb 29, 2012 | 75% |
| Epoch Midco, Inc |
5% Or Greater Indirect Ownership Interest | Oct 4, 2018 | 75% |
| Eudora Cannon |
Corporate Officer |
Jun 1, 2023 | |
| Other | Jun 1, 2023 | ||
| One Equity Partners VII-a LP |
5% Or Greater Indirect Ownership Interest | Nov 18, 2025 | 22.28% |
| Caleb Reed |
Corporate Officer |
Jun 1, 2023 | |
| Denise a Kann |
Corporate Officer |
Jun 1, 2023 | |
| Truist Bank |
5% Or Greater Security Interest | Nov 1, 2025 | 69.8% |
| Sara Ambrose |
W-2 Managing Employee |
Jul 7, 2025 | |
| Epoch Acquisition Inc |
5% Or Greater Indirect Ownership Interest | Oct 4, 2018 | 75% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070120000073 | ID | Part a Provider - Hospital | 0446271753 | Practice locations: Post Falls, ID |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | 67 | ID | Yes |
Addresses
Primary practice location
600 N Cecil Rd
Post Falls, ID 83854-6200
Mailing address
1024 N Galloway Ave Ste 102
Mesquite, TX 75149-2434
Phone (972) 216-2299
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequesst_Service | Other |
NPI Registry JSON
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763078400000",
"number": "1023079092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 N GALLOWAY AVE STE 102",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751492434",
"telephone_number": "972-216-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N CECIL RD",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838546200",
"telephone_number": "208-262-2800",
"fax_number": "550-892-2442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN IDAHO ADVANCED CARE HOSPITAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-30",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A",
"authorized_official_last_name": "KANN",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "VP & SECRETARY",
"authorized_official_telephone_number": "602-432-2809"
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "ID",
"license": "67",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequesst_Service",
"affiliation": "N",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMd eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd Ste B",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Post Falls, ID
- North Idaho Immediate Care
- North Idaho Neurosurgery and Spine, PLLC
- North Idaho Plastic and Reconstructive Surgery Inc.
- North Idaho Rehabilitation Medicine, PLLC
- North Idaho Worker Care
- Northern Idaho Advanced Care Hospital Inc
- Northern Idaho Advanced Care Hospital Inc
- Northern Idaho Caregiving LLC
- Northwest Anesthesia Specialists
- Northwest Audiology, LLC
All providers in Post Falls, ID · Long Term Care Hospital in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.