Organization Active NPI

Communicare, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Meridian, ID
National Provider Identifier
1356569362
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
000 Issued in ID
Legal business name
COMMUNICARE, INC.
Practice address
40 W Franklin Rd
Suite F
Meridian, ID 83642-2965
Phone
(208) 888-1155
Fax
(208) 888-1156
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas F Whittemore
Title
Administrator
Phone
(208) 888-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 000 ID Primary

Addresses

Primary practice location

40 W Franklin Rd
Suite F
Meridian, ID 83642-2965

Mailing address

40 W Franklin Rd
Suite F
Meridian, ID 83642-2965
Phone (208) 888-1155

Other identifiers 1

IdentifierTypeStateIssuer
8041624MedicaidID

Other names 1

  • CommuniCare Reshab Other name

National Provider Directory

National Provider Directory
Tax ID family
Communicare Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356569362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W FRANKLIN RD",
            "address_2": "SUITE F",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422965",
            "telephone_number": "208-888-1155",
            "fax_number": "208-888-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W FRANKLIN RD",
            "address_2": "SUITE F",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422965",
            "telephone_number": "208-888-1155",
            "fax_number": "208-888-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNICARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITTEMORE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-888-1155",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "ID",
            "license": "000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8041624",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CommuniCare Reshab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 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.

Verify at the official NPI Registry.