Living Resources of Idaho, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

LIVING RESOURCES OF IDAHO, LLC

Practice address

5571 N Glenwood St
Garden City, ID 83714-1336

Phone

(208) 616-0060

NPI assigned

Jan 2, 2018

Last updated

Nov 13, 2019By 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

Cynthia Sauer

Title

Executive Director/Administrator

Phone

(208) 616-0060

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1568979326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5571 N GLENWOOD ST",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837141336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5571 N GLENWOOD ST",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837141336",
            "telephone_number": "208-616-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING RESOURCES OF IDAHO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "SAUER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/ADMINISTRATOR",
        "authorized_official_telephone_number": "208-616-0060"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "ID",
            "license": "W192684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francine Lorraine Kimball, RPH
• Ingri Suzanne Koloski, LPC
• Victoria Kronz, M.COUN, LCPC, NCC
• Jenna Lynn Larrow, BA, IS
• Alina Wright Lee, PT, DPT
• Connie Loosle
• Delores Maybach, NURSE PRACTITIONER
• Melissa Elaine McCaskill, NURSE PRACTITIONER
• Kathleen Marie Michaud, PHD
• Bradley A Miller, M.A. LMSW QSUDP

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Garden City, ID
• Providers in Garden City, ID by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.