Siskiyou Living Llc in Hayden - Assisted Living, Mental Illness
Siskiyou Living Llc - NPI 1144381344
Siskiyou Living Llc is a Assisted Living, Mental Illness in Hayden, Idaho. Siskiyou Living Llc practices all healthcare services and medical treatments related to Assisted Living, Mental Illness. The NPI Number for Siskiyou Living Llc is 1144381344. The last update date is 2020-08-22.
Siskiyou Living Llc's current location address is Po Box 2792, Hayden, Idaho. You can contact this provider via phone number 2087629856 and fax number 2087625696. The mailing address for Siskiyou Living Llc is Po Box 2792, Hayden, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Siskiyou Living Llc |
|---|---|
| Address | Po Box 2792, Hayden, Idaho |
| Phone Number | 2087629856 |
| Fax Number | 2087625696 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEMBER |
|---|---|
| Authorized Official Name | Christensen Graham |
| Telephone Number | 2087629856 |
NPI Number Detail
| NPI Number | 1144381344 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 2792 |
|---|---|
| City | Hayden |
| State | Idaho (ID) |
| Post Code | 838352792 |
| Phone Number | 2087629856 |
| Fax Number | 2087625696 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living, Mental Illness |
|---|---|
| Taxonomy | 3104A0625X |
| Licence No | RC-821 |
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Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff w |
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What is the unique identifier code issued to Siskiyou Living Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Siskiyou Living Llc has been assigned the NPI (National Provider Identifier) 1144381344. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Siskiyou Living Llc's physical address?
The Siskiyou Living Llc is physically located at Po Box 2792, in the city of Hayden, ID, with the postal code 838352792.
What is the area of specialization for Siskiyou Living Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Siskiyou Living Llc is Assisted Living, Mental Illness, and the corresponding taxonomy code that categorizes this area of expertise is 3104A0625X.
On what date did the Siskiyou Living Llc receive the assignment of its 1144381344 from the Centers for Medicare & Medicaid Services?
The Siskiyou Living Llc was issued its 1144381344 by the Centers for Medicare & Medicaid Services on 2006-12-12.
When was the information pertaining to Siskiyou Living Llc most recently updated or revised?
The details related to Siskiyou Living Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.