Gooding Rehab and Living Center
Organization Active NPI Mental Illness Intermediate Care Facility · Gooding, ID
NPI 1023096757 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1023096757
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Intermediate Care Facility 310500000X
- License
- 38 (ID)
- Legal business name
- GOODING REHAB AND LIVING CENTER
- Practice address
- 1220 Montana St
Gooding, ID 83330-1856 - Phone
- (208) 934-5601
- Fax
- (208) 934-8154
- NPI assigned
- Jan 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Stacy Lynn Schoonover
- Title
- Administrator
- Phone
- (208) 934-5601
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Aspen Grove Hospice
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Intermediate Care Facility | 310500000X | 38 | ID | Yes |
Addresses
Primary practice location
1220 Montana St
Gooding, ID 83330-1856
Mailing address
1220 Montana St
Gooding, ID 83330-1856
Phone (208) 934-5601
Other providers in Gooding, ID
- Gooding County Hospital District
- Gooding County Hospital District
- Gooding Family Dental
- Gooding Family Physicians PLLC
- Gooding Pharmacy Inc
- Raymond C. Goodman
- Kyle Grooms
- Charles Hancock
- Terrie A Harris
- Marcella Louise Heil
All providers in Gooding, ID · Mental Illness Intermediate Care Facility in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.