Touchmark at Meadow Lake Village, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HH160 Issued in ID

Legal business name

TOUCHMARK AT MEADOW LAKE VILLAGE, LLC

Practice address

625 S Arbor LN
Meridian, ID 83642-3025

Phone

(208) 884-3308

Fax

(208) 888-9381

NPI assigned

Dec 28, 2010

Organization subpart

No

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

Authorized official

Name

Brian Eugene Pryor

Title

Executive Vice President

Phone

(503) 646-5186

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Martinez, DPT

  • Physical Therapist
  • Meridian, ID
  • NPI 1518342104
  NPD (past)

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518393600000",
    "number": "1629372040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 SW GRIFFITH DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052935",
            "telephone_number": "503-646-5186",
            "fax_number": "503-644-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S ARBOR LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423025",
            "telephone_number": "208-884-3308",
            "fax_number": "208-888-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOUCHMARK AT MEADOW LAKE VILLAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-28",
        "last_updated": "2018-02-12",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "503-646-5186"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ID",
            "license": "HH160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "HH160",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER",
            "identifier": "13D0947553",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Torres
• Jessica Jane Torres
• Total Health Solutions Inc
• Total Renal Care Inc (Treasure Valley Dialysis Center)
• Touchmark at Meadow Lake Village Reitrement Resort, LLC (Touchmark at Meadow Lake Village Outpatient Clinic)
• Touchmark of the Treasure Valley, LLC (Waterford Home Health)
• Ashley Metronus Trace, LCSW
• Trailblazer Integrative & Functional Nutrition, LLC
• Trailhead Medical Group LLC
• Transformations Idaho PLLC

• Home Health Agency in Meridian, ID
• Providers in Meridian, ID by specialty
• Home Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.