Organization Active NPI

Sweet Home

  • Assisted Living Facility (Mental Illness)
  • Meridian, ID
National Provider Identifier
1346924982
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
SWEET HOME
Practice address
4290 E Awbrey St
Meridian, ID 83642-8683
Phone
(208) 440-6545
Fax
(208) 376-2908
NPI assigned
Jun 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Duke Nyarecha
Title
Owner
Phone
(208) 440-6545

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

4290 E Awbrey St
Meridian, ID 83642-8683

Mailing address

4290 E Awbrey St
Meridian, ID 83642-8683
Phone (208) 440-6545

Other names 1

  • Sweet Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1346924982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 E AWBREY ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428683",
            "telephone_number": "208-440-6545",
            "fax_number": "208-376-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 E AWBREY ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428683",
            "telephone_number": "208-440-6545",
            "fax_number": "208-376-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "NYARECHA",
        "authorized_official_first_name": "DUKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-440-6545"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sweet Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.