HAWKS LANDING OF IDAHO LLC – NPI #1235758897
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

HAWKS LANDING OF IDAHO LLC is a residential treatment facility located in BONNERS FERRY, ID. NPPES has assigned the NPI number 1235758897 to HAWKS LANDING OF IDAHO LLC on April 14, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

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 HAWKS LANDING OF IDAHO LLC below.

NPI Profile for
HAWKS LANDING OF IDAHO LLC

NPI Number
1235758897
Enumeration Date

(more than 6 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
HAWKS LANDING OF IDAHO LLC
Primary location
222 NIGHTHAWK RD
BONNERS FERRY, ID 83805-5441
Phone: (208) 946-7005 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SARA TADLOCK
COO
Phone: (208) 255-9460
Updated
Certification Date
Apr 14, 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
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (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.