Organization Active NPI

Development Enterprises, Inc.

  • Skilled Nursing Facility
  • Nampa, ID
National Provider Identifier
1104977479
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
54 Issued in ID
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

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. Kristopher D Campbell
Title
Vice President
Phone
(509) 669-8564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0032552MedicaidID

Other names 1

  • Karcher Estates, LLC 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": "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.

Verify at the official NPI Registry.