Secure Housing LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

SECURE HOUSING LLC

Doing business as

Magic Valley Manor

Practice address

210 N Idaho St
Wendell, ID 83355-5037

Phone

(208) 221-4721

Fax

(208) 536-5570

NPI assigned

Mar 18, 2025

Last updated

Mar 18, 2025By 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

Mr. Scott Franklin Burpee, ALA

Title

Administrator

Phone

(208) 221-4721

Specialties & licenses 1

Addresses

Other names 1

• Magic Valley Manor Doing business as

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1215737127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "WENDELL",
            "state": "ID",
            "postal_code": "833550306",
            "telephone_number": "208-221-4721",
            "fax_number": "208-536-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N IDAHO ST",
            "city": "WENDELL",
            "state": "ID",
            "postal_code": "833555037",
            "telephone_number": "208-221-4721",
            "fax_number": "208-536-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURE HOUSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "BURPEE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-221-4721",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ALA"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magic Valley Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility (Mental Illness) in Wendell, ID
• Providers in Wendell, ID by specialty
• Assisted Living Facility (Mental Illness) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.