NPIMap

Organization Active NPI

Tanabell Health Services, Inc

Doing business as Copper Summit Assisted Living

  • Assisted Living Facility
  • Pocatello, ID
National Provider Identifier
1770834715
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
TANABELL HEALTH SERVICES, INC
Doing business as
Copper Summit Assisted Living
Practice address
2424 Birdie Thompson Drive
Pocatello, ID 83201
Phone
(208) 221-0481
Fax
(775) 307-4049
NPI assigned
Oct 1, 2012
Last updated
Jan 29, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
TANABELL HEALTH SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Authorized official

Name
Mr. Troy Verle Bell, MBA
Title
President/Ceo
Phone
(208) 221-0481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

2424 Birdie Thompson Drive
Pocatello, ID 83201

Mailing address

1009 W Quinn Rd
Pocatello, ID 83202-2425
Phone (208) 221-0481

Other names 1

  • Copper Summit Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tanabell Health Services Inc5 organizations share this tax ID, including this one
Part of
Tanabell Health Services Inc

Other organizations with this tax ID 4

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1770834715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 W QUINN RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832022425",
            "telephone_number": "208-221-0481",
            "fax_number": "775-307-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 BIRDIE THOMPSON DRIVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83201",
            "telephone_number": "208-221-0481",
            "fax_number": "775-307-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANABELL HEALTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TANABELL HEALTH SERVICES, INC",
        "enumeration_date": "2012-10-01",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "VERLE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "208-221-0481",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Copper Summit Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.