ADULT DAY PROGRAM – NPI #1780981902
Clinic/Center

ADULT DAY PROGRAM is an AHC clinic located in COEUR D'ALENE, ID. NPPES has assigned the NPI number 1780981902 to ADULT DAY PROGRAM on February 24, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADULT DAY PROGRAM” is a dba name, the actual legal business name for this organization is KOOTENAI HEALTH, INC.. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

The NPI profile was previously updated about 2 years ago on Jan 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADULT DAY PROGRAM below.

NPI Profile for
KOOTENAI HEALTH, INC.

NPI Number
1780981902
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KOOTENAI HEALTH, INC.
Doing Business As (dba): ADULT DAY PROGRAM
Primary location
2003 KOOTENAI HEALTH WAY
COEUR D'ALENE, ID 83814-6051
Phone: (208) 666-2000 Fax: (208) 666-3963
Mailing address
Same as primary location
Organization Subpart
Yes - ADULT DAY PROGRAM is subpart of another organization.
Authorized Official
JON NESS
CEO
Phone: (208) 625-5081
Updated
Certification Date
Jan 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADULT DAY PROGRAM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidIDM8056472
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)		 ID 42

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.