Organization Active NPI

C&R, Inc

  • Nursing Care Agency
  • Moscow, ID
National Provider Identifier
1376913954
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
C156469 Issued in ID
Legal business name
C&R, INC
Practice address
1107 Logan St
Moscow, ID 83843-3124
Phone
(208) 882-8040
NPI assigned
Sep 25, 2015
Last updated
Sep 25, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2015

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

Authorized official

Name
Valerie Cutshall
Title
Administrator
Phone
(208) 882-8040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X C156469 ID Primary

Addresses

Primary practice location

1107 Logan St
Moscow, ID 83843-3124

Mailing address

1107 Logan St
Moscow, ID 83843-3124
Phone (208) 882-8040

Other identifiers 3

IdentifierTypeStateIssuer
M8070462MedicaidID
A0000356MedicaidID
M8071152MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
C and R Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1443139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1376913954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 LOGAN ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433124",
            "telephone_number": "208-882-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 LOGAN ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433124",
            "telephone_number": "208-882-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&R, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-25",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "CUTSHALL",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-882-8040"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "ID",
            "license": "C156469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M8070462",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A0000356",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M8071152",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.