NPIMap

Organization Active NPI

Charolais Care IV, Inc

Doing business as Lincoln County Care Center

  • Skilled Nursing Facility
  • Shoshone, ID
National Provider Identifier
1518115773
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHAROLAIS CARE IV, INC
Doing business as
Lincoln County Care Center
Practice address
511 E 4TH St
Shoshone, ID 83352-5380
Phone
(208) 886-2228
NPI assigned
Aug 29, 2008
Last updated
Feb 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Jim Everton
Title
Ceo
Phone
(208) 233-4673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

511 E 4TH St
Shoshone, ID 83352-5380

Mailing address

511 E 4TH St
Shoshone, ID 83352-5380
Phone (208) 886-2226

Other names 1

  • Lincoln County Care Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1518115773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 E 4TH ST",
            "city": "SHOSHONE",
            "state": "ID",
            "postal_code": "833525380",
            "telephone_number": "208-886-2226",
            "fax_number": "208-886-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E 4TH ST",
            "city": "SHOSHONE",
            "state": "ID",
            "postal_code": "833525380",
            "telephone_number": "208-886-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAROLAIS CARE IV, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "EVERTON",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-233-4673"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln County Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shoshone, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.