Lewiston of Olympus, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LEWISTON OF OLYMPUS, LLC

Doing business as

Royal Plaza of Olympus Retirement

Practice address

2870 Juniper Dr
Lewiston, ID 83501-4720

Phone

(208) 746-2880

NPI assigned

Jan 4, 2022

Last updated

Jan 4, 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

Owen Hammond

Title

President

Phone

(208) 401-9600

Specialties & licenses 1

Addresses

Other names 1

• Royal Plaza of Olympus Retirement 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

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1982365763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 E RIVERSIDE DR STE 100",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167621",
            "telephone_number": "208-351-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 JUNIPER DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014720",
            "telephone_number": "208-746-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISTON OF OLYMPUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "OWEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-401-9600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Plaza of Olympus Retirement",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lewiston's Vision Source PLLC (Optometric Vision Center)

• Assisted Living Facility in Lewiston, ID
• Providers in Lewiston, 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 Jan 4, 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.