Spring Gardens Meridian Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SPRING GARDENS MERIDIAN OPCO LLC

Practice address

1180 W Overland Rd
Meridian, ID 83642-6513

Phone

(208) 605-3700

NPI assigned

Sep 1, 2022

Last updated

Sep 1, 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

Candice Fine

Title

Authorized Agent

Phone

(480) 244-9173

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1912627654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 N ARBOLEDA STE 215",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852133217",
            "telephone_number": "480-244-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 W OVERLAND RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426513",
            "telephone_number": "208-605-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING GARDENS MERIDIAN OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "FINE",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "480-244-9173"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Meridian, ID
• Providers in Meridian, 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 1, 2022; 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.