Makenna Farms LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MAKENNA FARMS LLC

Doing business as

MaKenna Farms LLC

Practice address

3610 W Lamont Rd
Meridian, ID 83642-6430

Phone

(208) 407-4846

NPI assigned

Aug 1, 2023

Last updated

Sep 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Makenna Foster, RN

Title

Clinical Director

Phone

(208) 780-9998

Specialties & licenses 1

Addresses

Other names 1

• MaKenna Farms LLC Doing business as

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1396427266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 W LAMONT RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426430",
            "telephone_number": "208-407-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 W LAMONT RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426430",
            "telephone_number": "208-407-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKENNA FARMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "MAKENNA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "208-780-9998",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MaKenna Farms LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mireya Frances Mains, LMSW
• Maitri Community Services
• Maitri Community Services
• Jacob Scott Majors, M.D.
• Kayla Makar
• NA-Ree Kim Malan, D.D.S.
• Elizabeth Anne Malarkey, FNP-C
• Christine Maldonado, PH.D.
• Sekayi Anika Malek, MOT, OTR/L
• Olga Malevich

• Assisted Living Facility in Meridian, ID
• Providers in Meridian, ID by specialty
• Assisted Living Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.