Organization Active NPI

Ace Elder Care

  • Assisted Living Facility
  • Bonners Ferry, ID
National Provider Identifier
1588056642
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
RC-818 Issued in ID
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

Updated by the provider on Feb 26, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
M8071933MedicaidID

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.