NPIMap

Organization Active NPI

Cassia Long Term Care Inc Dba Parke View Care & Rehab Center

  • Skilled Nursing Facility
  • Boise, ID
National Provider Identifier
1528199015
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
H20 Issued in ID
Legal business name
CASSIA LONG TERM CARE INC DBA PARKE VIEW CARE & REHAB CENTER
Practice address
1475 N Cole Rd
Boise, ID 83704-8537
Phone
(208) 375-9964
Fax
(208) 375-9958
NPI assigned
Mar 8, 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
Rick Holloway
Title
President
Phone
(208) 375-9964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X H20 ID Primary

Addresses

Primary practice location

1475 N Cole Rd
Boise, ID 83704-8537

Mailing address

1475 N Cole Rd
Boise, ID 83704-8537
Phone (208) 375-9964

Other identifiers 2

IdentifierTypeStateIssuer
00010013588OtherIDREGENCE BLUE SHIELD PROVI
02758OtherIDBLUE CROSS PROVIDER NUMBE

National Provider Directory

National Provider Directory
Tax ID family
Cassia Long Term Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528199015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048537",
            "telephone_number": "208-375-9964",
            "fax_number": "208-375-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048537",
            "telephone_number": "208-375-9964",
            "fax_number": "208-375-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSIA LONG TERM CARE INC DBA PARKE VIEW CARE & REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-375-9964"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ID",
            "license": "H20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD PROVI",
            "identifier": "00010013588",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "02758",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, 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.