Etros Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ETROS LIVING, LLC

Practice address

840 E Dalton Ave
Coeur D Alene, ID 83815-9338

Phone

(208) 665-2100

Fax

(208) 665-9250

NPI assigned

Oct 10, 2017

Last updated

Mar 17, 2018By 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

Mrs. Amber Williams

Title

Ceo

Phone

(845) 248-4554

Specialties & licenses 5

Addresses

Other names 1

• Opus Living, LLC Former legal business name

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1568972016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2986 N GRAND FIR DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838156253",
            "telephone_number": "845-248-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E DALTON AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159338",
            "telephone_number": "208-665-2100",
            "fax_number": "208-665-9250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 E Sherman Ave",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838145335",
            "country_code": "US",
            "telephone_number": "208-765-8364",
            "fax_number": "208-765-3396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 S Division St",
            "address_purpose": "LOCATION",
            "city": "Pinehurst",
            "state": "ID",
            "postal_code": "838508700",
            "country_code": "US",
            "telephone_number": "208-682-9170",
            "fax_number": "208-682-2509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ETROS LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-248-4554",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Opus Living, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Assisted Living Facility in Coeur d'Alene, ID
• Providers in Coeur d'Alene, 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 Mar 17, 2018; 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.