Healthcare Provider Details

I. General information

NPI: 1225877871
Provider Name (Legal Business Name): ORCHARD VIEW SNF HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2024
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1014 BURRELL AVE
LEWISTON ID
83501-5472
US

IV. Provider business mailing address

1014 BURRELL AVE
LEWISTON ID
83501-5472
US

V. Phone/Fax

Practice location:
  • Phone: 208-743-4558
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ALICIA TORRES-CEPEDA
Title or Position: SENIOR LEGAL/RISK MANAGER
Credential:
Phone: 385-342-5175