Generations Assisted Living and Wellness Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

RC-826 Issued in ID

Legal business name

GENERATIONS ASSISTED LIVING AND WELLNESS INC

Practice address

13400 N Meyer Rd
Rathdrum, ID 83858-7099

Phone

(208) 687-0495

Fax

(208) 687-3333

NPI assigned

Oct 29, 2009

Last updated

Oct 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Heather Anne Gray, RN

Title

Admin / Owner

Phone

(208) 687-0495

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1144556978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 N MEYER RD",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838587099",
            "telephone_number": "208-687-0495",
            "fax_number": "208-687-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 N MEYER RD",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838587099",
            "telephone_number": "208-687-0495",
            "fax_number": "208-687-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS ASSISTED LIVING AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "ADMIN / OWNER",
        "authorized_official_telephone_number": "208-687-0495",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ID",
            "license": "RC-826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807222300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Rathdrum, ID
• Providers in Rathdrum, 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 Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.