Encore Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

RC-1049 Issued in ID

Legal business name

ENCORE SENIOR LIVING, LLC

Practice address

840 E Dalton Ave
Coeur D Alene, ID 83815-9338

Phone

(208) 665-2100

Fax

(208) 665-9250

NPI assigned

May 31, 2013

Organization subpart

Yes

Parent organization

ENCORE SM, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Bruce A Schoen

Title

Ex Vo/Cfo

Phone

(503) 905-3347

Specialties & licenses 1

Addresses

Part of

Encore Senior Living LLC

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1164869079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SE LAKE RD",
            "address_2": "SUITE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972222129",
            "telephone_number": "503-905-3347",
            "fax_number": "503-905-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E DALTON AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159338",
            "telephone_number": "208-665-2100",
            "fax_number": "208-665-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE SENIOR LIVING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENCORE SM, LLC",
        "enumeration_date": "2013-05-31",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "SCHOEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EX VO/CFO",
        "authorized_official_telephone_number": "503-905-3347",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ID",
            "license": "RC-1049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Coeur D Alene, ID
• Providers in Coeur D Alene, 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 Jun 7, 2013; 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.