Organization Active NPI

Gables Holdings LLC

Doing business as Gables of Pocatello Assisted Living, Gables of Blackfoot Assisted Livi

  • Assisted Living Facility
  • Blackfoot, ID
National Provider Identifier
1679902936
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
RC-1063 Issued in ID
Legal business name
GABLES HOLDINGS LLC
Doing business as
Gables of Pocatello Assisted Living, Gables of Blackfoot Assisted Livi
Practice address
2815 Hunters Loop
Blackfoot, ID 83221-6206
Phone
(208) 785-2506
Fax
(208) 785-2507
NPI assigned
Nov 7, 2013
Last updated
Jul 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Michael Robbins
Title
Business Manager
Phone
(208) 785-1820

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Assisted Living Facility 310400000X RC-1061 ID
Assisted Living Facility 310400000X RC-1062 ID
Assisted Living Facility 310400000X RC-1063 ID Primary

Addresses

Primary practice location

2815 Hunters Loop
Blackfoot, ID 83221-6206

Mailing address

PO Box 26
Blackfoot, ID 83221-0026
Phone (208) 785-1820

Other identifiers 1

IdentifierTypeStateIssuer
A0001781MedicaidID

Other names 1

  • GABLES OF POCATELLO ASSISTED LIVING, GABLES OF BLACKFOOT ASSISTED LIVI Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1679902936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832210026",
            "telephone_number": "208-785-1820",
            "fax_number": "208-785-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 HUNTERS LOOP",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832216206",
            "telephone_number": "208-785-2506",
            "fax_number": "208-785-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABLES HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "208-785-1820"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ID",
            "license": "RC-1061",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ID",
            "license": "RC-1062",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ID",
            "license": "RC-1063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A0001781",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GABLES OF POCATELLO ASSISTED LIVING, GABLES OF BLACKFOOT ASSISTED LIVI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blackfoot, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.