NPIMap

Organization Active NPI

Cassia Long Term Care, Inc.

Doing business as Parke View Care & Rehabilitation Center

  • Skilled Nursing Facility
  • Burley, ID
National Provider Identifier
1669469953
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
H20 Issued in ID
Legal business name
CASSIA LONG TERM CARE, INC.
Doing business as
Parke View Care & Rehabilitation Center
Practice address
2303 Park Ave
Burley, ID 83318-2106
Phone
(208) 677-3073
Fax
(208) 677-3181
NPI assigned
Sep 30, 2005
Last updated
Sep 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Authorized official

Name
Shauna L Kraus, LNHA
Title
Administrator
Phone
(208) 677-3073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X H20 ID Primary

Addresses

Primary practice location

2303 Park Ave
Burley, ID 83318-2106

Mailing address

2303 Park Ave
Burley, ID 83318-2106
Phone (208) 677-3073

Other identifiers 1

IdentifierTypeStateIssuer
0027610MedicaidID

Other names 1

  • Parke View Care & Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cassia Long Term Care Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1669469953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 PARK AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182106",
            "telephone_number": "208-677-3073",
            "fax_number": "208-677-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 PARK AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182106",
            "telephone_number": "208-677-3073",
            "fax_number": "208-677-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSIA LONG TERM CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "KRAUS",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-677-3073",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ID",
            "license": "H20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0027610",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parke View Care & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burley, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.