Grace At Englefield Green Llc

LBN: Grace At Englefield Green Llc
Grace At Englefield Green Llc is an health care organization with primary practice located at 250 S Allumbaugh Way , Boise ID 83709-5624. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Grace At Englefield Green Llc can be contacted via phone (208) 322-8080, or through Hines, Linda via phone (208) 322-8080.

Contact Information

Primary practice address
250 S Allumbaugh Way Boise ID 83709-5624
Phone: (208) 322-8080
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hines, Linda
Phone: (208) 322-8080

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1447874797
LBN Legal business name Grace At Englefield Green Llc
DBA Doing business as
Authorized official Hines, Linda
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2020
Last updated Jun 2nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447874797 NPPES
Idaho MEDICAID A0000106

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