Spokane-Idaho Falls LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SPOKANE-IDAHO FALLS LLC

Doing business as

IDFALLS, LLC

Practice address

3310 Valencia Dr
Idaho Falls, ID 83404-7502

Phone

(208) 542-6200

Fax

(208) 552-6139

NPI assigned

Oct 4, 2022

Organization subpart

Yes

Parent organization

IDFALLS, LLCAs reported in NPPES

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

Authorized official

Name

Machelle Rae Bergeman

Title

General Manager

Phone

(208) 542-6200

Specialties & licenses 1

Addresses

Other names 1

• IDFALLS, LLC Doing business as

Electronic endpoints 1

Part of

Spokane-Idaho Falls LLC

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1821713710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 VALENCIA DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047502",
            "telephone_number": "208-542-6200",
            "fax_number": "208-552-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 VALENCIA DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047502",
            "telephone_number": "208-542-6200",
            "fax_number": "208-552-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE-IDAHO FALLS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IDFALLS, LLC",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "BERGEMAN",
        "authorized_official_first_name": "MACHELLE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "208-542-6200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "leisurecare",
            "affiliation": "N",
            "endpointDescription": "web address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "medical billing",
            "address_1": "3310 Valencia Dr",
            "city": "Idaho Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "834047502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "IDFALLS, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Kathrine Speer
• Shawn D Speirs, D.O.
• David E Spencer, LCSW
• Kristie Spencer, LMSW
• Cory Spicer, M.D.
• Patrick Connor Spotts, MD
• Bailey Adelaide Spratling, LMSW
• Sherie Helen Squires, RD LD
• Chaheyla St Aubin, DO
• Sherri Stacey

• Assisted Living Facility in Idaho Falls, ID
• Providers in Idaho Falls, 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 Oct 4, 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.