Active NPI
Owyhee Health and Rehab Center
- Skilled Nursing Facility
- Boise, ID
National Provider Identifier
1306977889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 28
- Legal business name
- OWYHEE HEALTH AND REHAB CENTER
- Practice address
- 1475 N Cole Rd
Boise, ID 83704-8537 - Phone
- (208) 375-9964
- Fax
- (208) 375-9958
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rick Holloway
- Title
- Administrator
- Phone
- (208) 375-9964
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 28 | ID | Primary |
Addresses
Primary practice location
1475 N Cole Rd
Boise, ID 83704-8537
Mailing address
1475 N Cole Rd
Boise, ID 83704-8537
Phone (208) 375-9964
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02287 | Other | ID | BLUE CROSS PROVIDER NUMBE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306977889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 N COLE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837048537",
"telephone_number": "208-375-9964",
"fax_number": "208-375-9958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 N COLE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837048537",
"telephone_number": "208-375-9964",
"fax_number": "208-375-9958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OWYHEE HEALTH AND REHAB CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOLLOWAY",
"authorized_official_first_name": "RICK",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "208-375-9964",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "ID",
"license": "28",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBE",
"identifier": "02287",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.