NPIMap

Organization Active NPI

Preferred Community Homes, LLC

  • Community/Behavioral Health Agency
  • Meridian, ID
National Provider Identifier
1689989816
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
001036235 Issued in ID
Legal business name
PREFERRED COMMUNITY HOMES, LLC
Practice address
440 W Pennwood St Ste 200
Meridian, ID 83642-8602
Phone
(208) 855-9148
Fax
(208) 884-2164
NPI assigned
Aug 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Authorized official

Name
Jason McArthur
Title
Cfo
Phone
(503) 362-5235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 001036235 ID Primary

Addresses

Primary practice location

440 W Pennwood St Ste 200
Meridian, ID 83642-8602

Mailing address

3155 River Rd S Ste 100
Salem, OR 97302-9819
Phone (503) 362-5235

Other identifiers 6

IdentifierTypeStateIssuer
806849800MedicaidID
M8068498-001MedicaidID
M8068498MedicaidID
M8068498-002MedicaidID
806849802MedicaidID
806849801MedicaidID

Other names 1

  • Res Hab Behavior Consultation Other name

National Provider Directory

National Provider Directory
Tax ID family
Preferred Community Homes14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1689989816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 RIVER RD S STE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973029819",
            "telephone_number": "503-362-5235",
            "fax_number": "503-585-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W PENNWOOD ST STE 200",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428602",
            "telephone_number": "208-855-9148",
            "fax_number": "208-884-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED COMMUNITY HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "MCARTHUR",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "503-362-5235"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "001036235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806849800",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M8068498-001",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M8068498",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M8068498-002",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806849802",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806849801",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Res Hab Behavior Consultation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.