Healthcare Provider Details

I. General information

NPI: 1346460425
Provider Name (Legal Business Name): COMMUNICARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2007
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

878 E MAIN ST
JEROME ID
83338-2446
US

IV. Provider business mailing address

40 W FRANKLIN RD STE F
MERIDIAN ID
83642-2992
US

V. Phone/Fax

Practice location:
  • Phone: 208-888-1155
  • Fax: 208-888-1156
Mailing address:
  • Phone: 208-888-1155
  • Fax: 208-888-1156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number59
License Number StateID

VIII. Authorized Official

Name: ANNA LANTZ
Title or Position: OFFICE MANAGER
Credential:
Phone: 208-888-1155