Active NPI
Sunrise Home Health of Idaho
- Speech-Language Pathologist
- Meridian, ID
National Provider Identifier
1073357422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SUNRISE HOME HEALTH OF IDAHO
- Practice address
- 1254 E Puffin St
Meridian, ID 83642-7453 - Phone
- (208) 918-0080
- NPI assigned
- Jun 20, 2024
- Last updated
- Jun 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rachelle Rauma, M.S. CCC-SLP
- Title
- Manager
- Phone
- (208) 918-0080
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | NU | ||
| Physical Therapist | 225100000X | NU | ||
| Occupational Therapist | 225X00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | NU | Primary | |
| Home Health Clinical Nurse Specialist | 364SH0200X | NU |
Addresses
Primary practice location
1254 E Puffin St
Meridian, ID 83642-7453
Mailing address
1254 E Puffin St
Meridian, ID 83642-7453
Phone (480) 247-0622
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Queen Creek, AZ
- NPI 1922310101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718841600000",
"number": "1073357422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1254 E PUFFIN ST",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836427453",
"telephone_number": "480-247-0622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1254 E PUFFIN ST",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836427453",
"telephone_number": "208-918-0080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE HOME HEALTH OF IDAHO",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-20",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A",
"authorized_official_last_name": "RAUMA",
"authorized_official_first_name": "RACHELLE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "208-918-0080",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.S. CCC-SLP"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "364SH0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Home Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.