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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- RC-1063
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A0001781 | Medicaid | ID |
Other names 1
- GABLES OF POCATELLO ASSISTED LIVING, GABLES OF BLACKFOOT ASSISTED LIVI
National Provider Directory
National Provider DirectoryNPI 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.