Warhawk Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WARHAWK SENIOR LIVING LLC

Doing business as

Table Rock Senior Living at Park Place

Practice address

616 16TH Ave N
Nampa, ID 83687-3540

Phone

(208) 465-7275

NPI assigned

Oct 18, 2024

Last updated

Sep 24, 2025By 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

Andrew Rider

Title

LLC Manager

Phone

(208) 207-2726

Specialties & licenses 1

Addresses

Other names 1

• Table Rock Senior Living at Park Place Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1881415289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 16TH AVE N",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836873540",
            "telephone_number": "208-465-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 16TH AVE N",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836873540",
            "telephone_number": "208-465-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARHAWK SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "RIDER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "LLC MANAGER",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Table Rock Senior Living at Park Place",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Table Rock Senior Living at Park Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mindi M Walters, MS, CCC-SLP
• Courtney Wambeke
• Wanda Wilson, PLLC (Atlas Therapy Services)
• Lori Wanman, MS, CCC-SLP
• Alexandra Ann Ware, MA
• Anne Warner
• Thomas Robert Waskow, DDS
• Diana G. Wasser, LPC
• Alana Waters, PA
• Ty Waters, MD

• Assisted Living Facility in Nampa, ID
• Providers in Nampa, 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 Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.