Gooding Rehab And Living Center in Gooding - Intermediate Care Facility, Mental Illness
Gooding Rehab And Living Center - NPI 1023096757
Gooding Rehab And Living Center is a Intermediate Care Facility, Mental Illness in Gooding, Idaho. Gooding Rehab And Living Center practices all healthcare services and medical treatments related to Intermediate Care Facility, Mental Illness. The NPI Number for Gooding Rehab And Living Center is 1023096757. The last update date is 2020-08-22.
Gooding Rehab And Living Center's current location address is 1220 Montana St, Gooding, Idaho. You can contact this provider via phone number 2089345601 and fax number 2089348154. The mailing address for Gooding Rehab And Living Center is 1220 Montana St, Gooding, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gooding Rehab And Living Center |
|---|---|
| Address | 1220 Montana St, Gooding, Idaho |
| Phone Number | 2089345601 |
| Fax Number | 2089348154 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Schoonover Lynn Stacy |
| Telephone Number | 2089345601 |
NPI Number Detail
| NPI Number | 1023096757 |
|---|---|
| Provider Enumeration Date | 2006-01-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1220 Montana St |
|---|---|
| City | Gooding |
| State | Idaho (ID) |
| Post Code | 833301856 |
| Phone Number | 2089345601 |
| Fax Number | 2089348154 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Mental Illness |
|---|---|
| Taxonomy | 310500000X |
| Licence No | 38 |
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Definition: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
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What is the unique 10-digit identification code assigned to Gooding Rehab And Living Center by the Centers for Medicare & Medicaid Services?
The Gooding Rehab And Living Center has been issued the NPI (National Provider Identifier) 1023096757, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gooding Rehab And Living Center's physical address?
The Gooding Rehab And Living Center is physically located at 1220 Montana St, in the city of Gooding, ID, with the postal code 833301856.
Could you please provide the complete street address where Gooding Rehab And Living Center is physically located?
The Gooding Rehab And Living Center is physically situated at the following address: 1220 Montana St, Gooding, ID, 833301856.
What is the Gooding Rehab And Living Center's area of specialization and corresponding taxonomy classification?
The Gooding Rehab And Living Center's specialty field is Intermediate Care Facility, Mental Illness, and it falls under the taxonomy code 310500000X, which categorizes healthcare providers based on their specialties.
As of what date were the Gooding Rehab And Living Center's details last updated?
The information pertaining to the Gooding Rehab And Living Center, including its address, specialty, and other details, was most recently updated on 2020-08-22.