Discovery Care Centre of Salmon

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

RC594 Issued in ID

Legal business name

DISCOVERY CARE CENTRE OF SALMON

Practice address

1475 N Cole Rd
Boise, ID 83704-8537

Phone

(208) 375-9964

Fax

(208) 375-9958

NPI assigned

Mar 7, 2007

Last updated

Aug 22, 2020By 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

Mr. Rick Holloway

Title

President

Phone

(208) 375-9967

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Discovery Care Center of Salmon2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Discovery Care Centre of Salmon

  • Skilled Nursing Facility
  • Boise, ID
  • NPI 1598896185
  NPD tax ID

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659402386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048537",
            "telephone_number": "208-375-9964",
            "fax_number": "208-375-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048537",
            "telephone_number": "208-375-9964",
            "fax_number": "208-375-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY CARE CENTRE OF SALMON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-375-9967",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ID",
            "license": "RC594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "04523",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Direct Orthopedic Care LLC
• Direct Orthopedic Care LLC
• Kenneth Dirk, PHARMD,MBA
• Carla D Dirmann, NP
• Discovery Care Centre of Salmon
• Marcelyn Ditter
• Division of Veterans Services
• Gage Dixon, PHARMD
• Jaimen L. Dixon, O.D.
• Aida Dizdar-Barac, LCSW

• Assisted Living Facility in Boise, ID
• Providers in Boise, 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 Aug 22, 2020; 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.