Boundary County Community Restorium

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

RC-118 Issued in ID

Legal business name

BOUNDARY COUNTY COMMUNITY RESTORIUM

Practice address

6619 Kaniksu St
Bonners Ferry, ID 83805-7532

Phone

(208) 267-2453

Fax

(208) 267-7823

NPI assigned

Feb 19, 2016

Last updated

Feb 19, 2016By 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

Karlene Magee

Title

Administrator

Phone

(208) 267-2453

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

Locations

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1235598137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6619 KANIKSU ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838057532",
            "telephone_number": "208-267-2453",
            "fax_number": "208-267-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6619 KANIKSU ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838057532",
            "telephone_number": "208-267-2453",
            "fax_number": "208-267-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNDARY COUNTY COMMUNITY RESTORIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "MAGEE",
        "authorized_official_first_name": "KARLENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-267-2453"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ID",
            "license": "RC-118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A0000437",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boundary Community Hospital
• Boundary Community Hospital
• Boundary Community Hospital (Boundary Community Clinics)
• Boundary Community Hospital
• Boundary Community Hospital Pharmacy
• Boundary County School District #101
• Boundary Regional Community Health Center Inc (Kaniksu Community Health)
• Boundary Regional Community Health Center, Inc. (Kaniksu Community Health)
• Boundary Regional Community Health Center, Inc. (Kaniksu Health Services)
• Boundary Regional Community Health Center, Inc. (Kaniksu Health Services)

• Assisted Living Facility in Bonners Ferry, ID
• Providers in Bonners Ferry, 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 Feb 19, 2016; 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.