MEDICARE: SUNSETRESHAB

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1790638369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNSETRESHAB

Provider Business Mailing Address
First Line	:	252 E FRONT ST APT 225
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83702-7339
Country	:	US
Telephone Number	:	208-805-9617
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 E 50TH ST
Second Line	:
City	:	GARDEN CITY
State	:	ID
Zip	:	83714-1413
Country	:	US
Telephone Number	:	208-805-9617
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	UWAYEZU PETERO CLAVERY
Credential	:	CEO
Telephone Number	:	208-805-9617

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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Directions to “SUNSETRESHAB ” Practice Location

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