MEDICARE: SEVEN OAKS COMMUNITY HOMES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	315P00000X	Intellectual Disabilities Intermediate Care Facility	23	ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710025481
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEVEN OAKS COMMUNITY HOMES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 4243
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83711-4243
Country	:	US
Telephone Number	:	208-376-1861
Fax Number	:

Provider Business Practice Location Address
First Line	:	3930 W 5TH AVE
Second Line	:	BLD #D-1
City	:	POST FALLS
State	:	ID
Zip	:	83854-7324
Country	:	US
Telephone Number	:	208-376-1861
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	RICHARD DAVIS
Credential	:
Telephone Number	:	208-376-1861

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	05/18/2026

Similar Medicare Providers

1720502677 — MR. RAFAEL DAVID PENA PTA
Practice Location Address:

2871 POST RD , PREHAB SPORTS MEDICARE SERVICES INC.
WARWICK, RI
02886-0076

Practice Phone: 401-463-3060
Practice Fax: 401-732-1045

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1790824209 — SEVEN OAKS COMMUNITY HOMES, INC.
Practice Location Address:

3940 W 5TH AVE
POST FALLS, ID
83854-7324

Practice Phone: 208-773-8890
Practice Fax:

1407995913 — SEVEN OAKS COMMUNITY HOMES, INC.
Practice Location Address:

3940 W 5TH AVE
POST FALLS, ID
83854-7324

Practice Phone: 208-773-8890
Practice Fax:

1932248358 — SEVEN OAKS COMMUNITY HOMES, INC.
Practice Location Address:

3940 W 5TH AVE
POST FALLS, ID
83854-7324

Practice Phone: 208-773-8890
Practice Fax:

1891834214 — SEVEN OAKS COMMUNITY HOMES, INC.
Practice Location Address:

3940 W 5TH AVE
POST FALLS, ID
83854-7324

Practice Phone: 208-773-8890
Practice Fax: 208-376-1869

Directions to “SEVEN OAKS COMMUNITY HOMES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.