Active NPI
Belmont Management, Inc.
- Nursing Care Agency
- Pocatello, ID
National Provider Identifier
1407161631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 000681691
- Legal business name
- BELMONT MANAGEMENT, INC.
- Practice address
- 3625 Vaughn Ave
Pocatello, ID 83204-2062 - Phone
- (208) 233-0016
- Fax
- (208) 234-2755
- NPI assigned
- Aug 12, 2010
- Last updated
- Aug 12, 2010
- 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
- Jason McArthur
- Title
- Cfo
- Phone
- (503) 362-5235
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 000681691 | ID | Primary |
Addresses
Primary practice location
3625 Vaughn Ave
Pocatello, ID 83204-2062
Mailing address
3155 River Rd S Ste 100
Salem, OR 97302-9819
Phone (503) 362-5235
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M8066462 | Medicaid | ID | |
| 806646200 | Medicaid | ID |
Other names 1
- Res Hab Direct Care
National Provider Directory
National Provider Directory- Tax ID family
- Belmont Management Inc
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Pocatello, ID
- NPI 1285761148
-
- Community/Behavioral Health Agency
- Chubbuck, ID
- NPI 1497069132
-
- Nursing Care Agency
- Pocatello, ID
- NPI 1639391881
-
- Intellectual Disabilities Intermediate Care Facility
- Pocatello, ID
- NPI 1902110380
-
- Intellectual Disabilities Intermediate Care Facility
- Pocatello, ID
- NPI 1922135789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281571200000",
"number": "1407161631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3155 RIVER RD S STE 100",
"city": "SALEM",
"state": "OR",
"postal_code": "973029819",
"telephone_number": "503-362-5235",
"fax_number": "503-585-3267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 VAUGHN AVE",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832042062",
"telephone_number": "208-233-0016",
"fax_number": "208-234-2755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELMONT MANAGEMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-12",
"last_updated": "2010-08-12",
"status": "A",
"authorized_official_last_name": "MCARTHUR",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "503-362-5235"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "ID",
"license": "000681691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "M8066462",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806646200",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Res Hab Direct Care",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.