Preferred Community Homes - Mallard

LBN: Preferred Community Homes, Llc
Preferred Community Homes - Mallard is an health care organization with primary practice located at 699 S Otter Ave , Meridian ID 83642-6144. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Preferred Community Homes, Llc can be contacted via phone (208) 288-2399, or through Mcarthur, Jason via phone (503) 362-5235.

Contact Information

Primary practice address
699 S Otter Ave Meridian ID 83642-6144
Phone: (208) 288-2399
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcarthur, Jason
Phone: (503) 362-5235

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X Idaho

Profile Details

NPI number 1104960707
LBN Legal business name Preferred Community Homes, Llc
DBA Doing business as Preferred Community Homes - Mallard
Authorized official Mcarthur, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2007
Last updated Aug 22nd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104960707 NPPES
Alaska MEDICAID LT032ID

Popular Providers