Maria Del Carmen Leon

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

CFH-10217 Issued in ID

Practice address

11320 W Teratai St
Star, ID 83669-6363

Phone

(928) 798-0191

NPI assigned

Dec 3, 2024

Last updated

Dec 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1942026141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11320 W TERATAI ST",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836696363",
            "telephone_number": "928-798-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11320 W TERATAI ST",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836696363",
            "telephone_number": "928-798-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "MARIA",
        "middle_name": "DEL CARMEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ID",
            "license": "CFH-10217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Kohlhase, MD
• Katrina Larsen, MS, RD, CDCES
• Amy Daylene Leavitt
• Leslie Leet, LCSW
• Maureen Christine Legaspi, RN, IBCLC
• Diane Rausch Lewis, MS, RDN, LD
• Robert Dell Lewis, D.M.D.
• Caitlin Liedtke
• Maribel Gudalupe Linan
• Linda Susan Mabe, MA, LMHC, NCC

• Assisted Living Facility in Star, ID
• Providers in Star, 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 Dec 3, 2024; 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.