Orofino Retirement Properties Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

RC680 Issued in ID

Legal business name

OROFINO RETIREMENT PROPERTIES INC

Doing business as

Brookside Landing

Practice address

431 Johnson Ave
Orofino, ID 83544-9516

Phone

(208) 476-2000

Fax

(208) 476-7748

NPI assigned

Jul 13, 2016

Last updated

Jul 13, 2016By 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. Daniel L Dunham, MHSM

Title

Executive Director

Phone

(208) 476-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brookside Landing Doing business as

Locations

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1659723773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 JOHNSON AVE",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "835449516",
            "telephone_number": "208-476-2000",
            "fax_number": "208-476-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 JOHNSON AVE",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "835449516",
            "telephone_number": "208-476-2000",
            "fax_number": "208-476-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OROFINO RETIREMENT PROPERTIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-476-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHSM"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ID",
            "license": "RC680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M8059959",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookside Landing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Colleen Nelson, LMT
• Kristy Lou Olson, MS
• Orofino Chiropractic, PLLC (Orofino Spine Center)
• Orofino Physical Therapy and Wellness Inc
• Orofino Physical Therapy, PLLC
• Owc, Inc. (Orofino Wellness Center)
• Phillip H Petersen, MD
• Patricia Peterson, R.PH.
• Ashley Marie Pomponio
• Damon Josef Popovics, DC

• Assisted Living Facility in Orofino, ID
• Providers in Orofino, 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 Jul 13, 2016; 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.