COPPER SUMMIT ASSISTED LIVING – NPI #1770834715
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.

Health Care Provider Taxonomy Code for Assisted Living Facility

COPPER SUMMIT ASSISTED LIVING is an assisted living facility located in POCATELLO, ID. NPPES has assigned the NPI number 1770834715 to COPPER SUMMIT ASSISTED LIVING on October 01, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COPPER SUMMIT ASSISTED LIVING” is a dba name, the actual legal business name for this organization is TANABELL HEALTH SERVICES, INC. The primary taxonomy selected by this provider is 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility.

The NPI profile was previously updated about 6 years ago on Jan 29, 2020. 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 COPPER SUMMIT ASSISTED LIVING below.

NPI Profile for
TANABELL HEALTH SERVICES, INC

NPI Number
1770834715
Enumeration Date

(more than 13 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
TANABELL HEALTH SERVICES, INC
Doing Business As (dba): COPPER SUMMIT ASSISTED LIVING
Primary location
2424 BIRDIE THOMPSON DRIVE
POCATELLO, ID 83201
Phone: (208) 221-0481 Fax: (775) 307-4049
Mailing address
1009 W QUINN RD
POCATELLO, ID 83202-2425
Phone: (208) 221-0481 Fax: (775) 307-4049
Organization Subpart
Yes - COPPER SUMMIT ASSISTED LIVING is subpart of another organization.
Authorized Official
TROY BELL
PRESIDENT/CEO
Phone: (208) 221-0481
Updated
Certification Date
Jan 29, 2020

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.

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
310400000X
- Assisted Living Facility (Primary)

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.