NPIMap

Organization Active NPI

Belmont Management, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Pocatello, ID
National Provider Identifier
1285761148
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
000681691 Issued in ID
Legal business name
BELMONT MANAGEMENT, INC.
Practice address
3625 Vaughn Ave
Pocatello, ID 83204-2062
Phone
(208) 233-0016
NPI assigned
Feb 27, 2007
Last updated
Jul 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Jason McArthur
Title
Cfo
Phone
(503) 362-5235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 000681691 ID Primary

Addresses

Primary practice location

3625 Vaughn Ave
Pocatello, ID 83204-2062

Mailing address

3155 River Rd S Ste 100
Salem, OR 97302-9819
Phone (503) 362-5235

Other identifiers 2

IdentifierTypeStateIssuer
805059100MedicaidID
LT046IDMedicaidAK

Other names 1

  • Belmont Care Center - Home #1 Other name

National Provider Directory

National Provider Directory
Tax ID family
Belmont Management Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1285761148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 RIVER RD S STE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973029819",
            "telephone_number": "503-362-5235",
            "fax_number": "503-585-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 VAUGHN AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832042062",
            "telephone_number": "208-233-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "MCARTHUR",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "503-362-5235"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "ID",
            "license": "000681691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805059100",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LT046ID",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belmont Care Center - Home #1",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.