Gables of Ammon Management, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

RC-1013 Issued in ID

Legal business name

GABLES OF AMMON MANAGEMENT, LLC

Practice address

1405 Curlew Dr
Ammon, ID 83406-4764

Phone

(208) 535-0090

NPI assigned

Nov 28, 2011

Organization subpart

No

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

Authorized official

Name

Mark Stephenson

Title

Administrator

Phone

(208) 535-0090

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1104193739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 CURLEW DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064764",
            "telephone_number": "208-535-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CURLEW DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064764",
            "telephone_number": "208-535-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABLES OF AMMON MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-535-0090"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ID",
            "license": "RC-1013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kierra G Franklin
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• Celeste Ama Freeman
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• Sydney Fregoso, INTERN
• Paulina Gamboa, BS
• Aline Garcia-Lopez
• Amanda Gardner
• Addie Garn
• Amy Gee

• Assisted Living Facility in Ammon, ID
• Providers in Ammon, 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 Nov 28, 2011; 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.