NPIMap

Organization Active NPI

Preferred Community Homes, LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Meridian, ID
National Provider Identifier
1104960707
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
PREFERRED COMMUNITY HOMES, LLC
Practice address
699 S Otter Ave
Meridian, ID 83642-6144
Phone
(208) 288-2399
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jason McArthur
Title
Cfo
Phone
(503) 362-5235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X ID Primary

Addresses

Primary practice location

699 S Otter Ave
Meridian, ID 83642-6144

Mailing address

3155 River Rd S Ste 100
Salem, OR 97302-9819
Phone (503) 362-5235

Other identifiers 1

IdentifierTypeStateIssuer
LT032IDMedicaidAK

Other names 1

  • Preferred Community Homes - Mallard Other name

National Provider Directory

National Provider Directory
Tax ID family
Preferred Community Homes14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

3155 River Rd S
Ste 100
Salem, OR 97302

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104960707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 RIVER RD S STE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973029819",
            "telephone_number": "503-362-5235",
            "fax_number": "503-585-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 S OTTER AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426144",
            "telephone_number": "208-288-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED COMMUNITY HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCARTHUR",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "503-362-5235",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LT032ID",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Community Homes - Mallard",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.