Charolais Care VIII, Inc

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

License

38517 Issued in ID

Legal business name

CHAROLAIS CARE VIII, INC

Doing business as

John T. Raukar Institute

Practice address

650 Addison Ave W
Suite 400
Twin Falls, ID 83301-5851

Phone

(208) 736-1050

Fax

(208) 733-2367

NPI assigned

Dec 8, 2014

Organization subpart

Yes

Parent organization

BRP HEALTH MANAGEMENT, INCAs reported in NPPES

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

Authorized official

Name

Angela Dawn Pasquale

Title

Office Manager

Phone

(208) 736-1050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• John T. Raukar Institute Doing business as

Part of

Charolais Care II Inc

Locations

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1538567532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 ADDISON AVE W",
            "address_2": "SUITE 400",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015851",
            "telephone_number": "208-736-1050",
            "fax_number": "208-733-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 ADDISON AVE W",
            "address_2": "SUITE 400",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015851",
            "telephone_number": "208-736-1050",
            "fax_number": "208-733-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAROLAIS CARE VIII, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRP HEALTH MANAGEMENT, INC",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "PASQUALE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-736-1050"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "ID",
            "license": "38517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF IDAHO DEPARTMENT OF HEALTH AND WELFARE",
            "identifier": "38517",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John T. Raukar Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasen E Chandler, DPM
• Scott Chapin
• Mark Chappel, LPC
• Chardonnay Property LLC
• Charles L Cutler, M.D., P.a.
• Charolais Care VIII, Inc
• Samantha Ruth Chartier, PA-C
• Mallory Chavez
• Taylor Chavez
• Cheaper Peepers LLC

• Children's Substance Abuse Rehabilitation Facility in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Children's Substance Abuse Rehabilitation Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.