Blackfoot Operations LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BLACKFOOT OPERATIONS LLC

Doing business as

The Willows

Practice address

898 S Meridian St
Blackfoot, ID 83221-2660

Phone

(208) 782-1478

NPI assigned

Jul 29, 2022

Last updated

Jul 29, 2022By 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

Paul Dendy

Title

Manager

Phone

(360) 882-4500

Specialties & licenses 1

Addresses

Other names 1

• The Willows Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1730815812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 SE 2ND CIR STE 205",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846030",
            "telephone_number": "360-882-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "898 S MERIDIAN ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832212660",
            "telephone_number": "208-782-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKFOOT OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "DENDY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-882-4500"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ginger@milestoneretirement.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12500 SE 2nd Cir Ste 205",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986846030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Willows",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Blackfoot, ID
• Providers in Blackfoot, 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 29, 2022; 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.