Organization Active NPI

Jrobz, Inc

Doing business as Bluebonnett Haus

  • Assisted Living Facility
  • Twin Falls, ID
National Provider Identifier
1053906750
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
JROBZ, INC
Doing business as
Bluebonnett Haus
Practice address
641 Rimview Dr
Twin Falls, ID 83301-4447
Phone
(210) 616-1905
NPI assigned
Mar 4, 2021
Last updated
Mar 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Authorized official

Name
Betty Zuniga Bennett, RN
Title
Administrator/Owner
Phone
(210) 616-1905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

641 Rimview Dr
Twin Falls, ID 83301-4447

Mailing address

PO Box 826
Jerome, ID 83338-5482
Phone (210) 616-1905

Other names 1

  • Bluebonnett Haus Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1053906750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826",
            "city": "JEROME",
            "state": "ID",
            "postal_code": "833385482",
            "telephone_number": "210-616-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 RIMVIEW DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014447",
            "telephone_number": "210-616-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JROBZ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "ZUNIGA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "210-616-1905",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluebonnett Haus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.