PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC – NPI #1295228054
Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC is an assisted living facility located in LEWISTON, ID. NPPES has assigned the NPI number 1295228054 to PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC on June 07, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility.
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 PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC below.
NPI Profile for
PROVIDENT FOUNDATION - WEDGEWOOD TERRACE LLC
(more than 8 years ago)
LEWISTON, ID 83501 Phone: (208) 743-4545 Fax: (208) 743-2268
BATON ROUGE, LA 70808 Phone: (225) 766-3977 Fax: (225) 766-3988
PRESIDENT & CHIEF FINANCIAL OFFICER
Phone: (225) 766-3977
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 |
|---|---|---|
| 310400000X - Assisted Living Facility (Primary) |
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| 385H00000X - Respite Care |
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| 311500000X - Alzheimer Center (Dementia Center) |
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.