Active NPI
Development Enterprises, Inc.
- Skilled Nursing Facility
- Nampa, ID
National Provider Identifier
1104977479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 54
- Legal business name
- DEVELOPMENT ENTERPRISES, INC.
- Practice address
- 1127 Caldwell Blvd
Nampa, ID 83651-1719 - Phone
- (208) 465-4935
- Fax
- (208) 461-8638
- NPI assigned
- Jan 15, 2007
- 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
- Mr. Kristopher D Campbell
- Title
- Vice President
- Phone
- (509) 669-8564
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 54 | ID | Primary |
Addresses
Primary practice location
1127 Caldwell Blvd
Nampa, ID 83651-1719
Mailing address
1127 Caldwell Blvd
Nampa, ID 83651-1719
Phone (208) 465-4935
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0032552 | Medicaid | ID |
Other names 1
- Karcher Estates, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104977479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1127 CALDWELL BLVD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836511719",
"telephone_number": "208-465-4935",
"fax_number": "208-461-8638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1127 CALDWELL BLVD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836511719",
"telephone_number": "208-465-4935",
"fax_number": "208-461-8638"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVELOPMENT ENTERPRISES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "KRISTOPHER",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "509-669-8564",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "ID",
"license": "54",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0032552",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Karcher Estates, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nampa, 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.