Luther Park at Sandpoint, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LUTHER PARK AT SANDPOINT, LLC

Practice address

510 S Olive Ave
Sandpoint, ID 83864-4805

Phone

(208) 265-8822

Fax

(208) 265-8880

NPI assigned

Jul 22, 2022

Organization subpart

No

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

Authorized official

Name

Bridget Kosinski

Title

Executive Director

Phone

(208) 265-3557

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Luther Park Other name
• Luther Park at Sanpoint Other name

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1023743069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S OLIVE AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838644805",
            "telephone_number": "208-265-8822",
            "fax_number": "208-265-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S OLIVE AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838644805",
            "telephone_number": "208-265-8822",
            "fax_number": "208-265-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHER PARK AT SANDPOINT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "KOSINSKI",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-265-3557"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A0000704",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QMP000005550392",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luther Park",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Luther Park at Sanpoint",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Sandpoint, ID
• Providers in Sandpoint, 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 Jul 27, 2022; 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.