NPIMap

Organization Active NPI

Assisted Living Concepts Inc

Doing business as Sylvan House

  • Assisted Living Facility
  • Hayden, ID
National Provider Identifier
1164617759
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
RC524 Issued in ID
Legal business name
ASSISTED LIVING CONCEPTS INC
Doing business as
Sylvan House
Practice address
660 Honeysuckle Avenue
Hayden, ID 83835
Phone
(208) 762-4097
Fax
(208) 772-9335
NPI assigned
Sep 7, 2007
Last updated
Sep 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Walter A Levonowich
Title
Vice President Controller
Phone
(262) 250-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X RC524 ID Primary

Addresses

Primary practice location

660 Honeysuckle Avenue
Hayden, ID 83835

Mailing address

W140 N8981 Lilly Road
Attn Legal Department
Menomonee Falls, WI 53051-2325
Phone (262) 250-4500

Other names 1

  • Sylvan House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Assisted Living Concepts Inc213 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 8

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1164617759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W140 N8981 LILLY ROAD",
            "address_2": "ATTN LEGAL DEPARTMENT",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530512325",
            "telephone_number": "262-250-4500",
            "fax_number": "262-251-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 HONEYSUCKLE AVENUE",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "83835",
            "telephone_number": "208-762-4097",
            "fax_number": "208-772-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED LIVING CONCEPTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "LEVONOWICH",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT CONTROLLER",
        "authorized_official_telephone_number": "262-250-4500"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ID",
            "license": "RC524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sylvan House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayden, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.