Living Spring Residential Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

RC-957 Issued in ID

Legal business name

LIVING SPRING RESIDENTIAL CARE

Practice address

1050 Hemlock Dr
Lewiston, ID 83501-5434

Phone

(208) 743-2685

NPI assigned

Jan 1, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Marcus Charles Fowler

Title

Owner

Phone

(208) 743-2685

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1230768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230768000000",
    "number": "1609012277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 HEMLOCK DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835015434",
            "telephone_number": "208-743-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 HEMLOCK DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835015434",
            "telephone_number": "208-743-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING SPRING RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-01",
        "last_updated": "2009-01-01",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-743-2685",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ID",
            "license": "RC-957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Lewiston, ID
• Providers in Lewiston, 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 Jan 1, 2009; 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.