Active NPI
Ace Elder Care
- Assisted Living Facility
- Bonners Ferry, ID
National Provider Identifier
1588056642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- RC-818
- Legal business name
- ACE ELDER CARE
- Practice address
- 6652 Chippewa Dr
Bonners Ferry, ID 83805-7518 - Phone
- (208) 267-1481
- NPI assigned
- Feb 26, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Castillo Rogers
- Title
- Consultant/Office Manager
- Phone
- (208) 818-3755
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | RC-818 | ID | Primary |
Addresses
Primary practice location
6652 Chippewa Dr
Bonners Ferry, ID 83805-7518
Mailing address
6652 Chippewa Dr
Bonners Ferry, ID 83805-7518
Phone (208) 267-1481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M8071933 | Medicaid | ID |
National Provider Directory
National Provider DirectoryLocations
6652 Chippewa Dr
Bonners Ferry, ID 83805
Phone (208) 267-1481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424908800000",
"number": "1588056642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6652 CHIPPEWA DR",
"city": "BONNERS FERRY",
"state": "ID",
"postal_code": "838057518",
"telephone_number": "208-267-1481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6652 CHIPPEWA DR",
"city": "BONNERS FERRY",
"state": "ID",
"postal_code": "838057518",
"telephone_number": "208-267-1481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACE ELDER CARE",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-26",
"last_updated": "2015-02-26",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "CASTILLO",
"authorized_official_title_or_position": "CONSULTANT/OFFICE MANAGER",
"authorized_official_telephone_number": "208-818-3755"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "ID",
"license": "RC-818",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "M8071933",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bonners Ferry, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.