Hawks Landing of Idaho LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

HAWKS LANDING OF IDAHO LLC

Practice address

222 Nighthawk Rd
Bonners Ferry, ID 83805-5441

Phone

(208) 946-7005

NPI assigned

Apr 14, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Sara Elizabeth Tadlock

Title

Coo

Phone

(208) 255-9460

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1235758897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 NIGHTHAWK RD",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838055441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 NIGHTHAWK RD",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838055441",
            "telephone_number": "208-946-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKS LANDING OF IDAHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "TADLOCK",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "208-255-9460",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H.H.H. Holdings PLLC
• Kathleen Grace Hall
• Haley Halleman, PA-C
• Hank Willis, DDS, PLLC
• Derek A Hatch, MT
• Melanie Helms, RN
• Jill Hight
• Holliday Hill
• Barbara Hinderlie, LMSW
• Leighton Roger Holley III, DDS

• Emotionally Disturbed Childrens' Residential Treatment Facility in Bonners Ferry, ID
• Providers in Bonners Ferry, ID by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.