Healthcare Provider Details

I. General information

NPI: 1801351176
Provider Name (Legal Business Name): TANABELL HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2019
Last Update Date: 02/27/2020
Certification Date: 02/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2656 E MAGICVIEW DR
MERIDIAN ID
83646
US

IV. Provider business mailing address

4881 CLOVER DELL RD
CHUBBUCK ID
83202-1805
US

V. Phone/Fax

Practice location:
  • Phone: 208-996-2801
  • Fax: 208-996-2805
Mailing address:
  • Phone: 208-252-5902
  • Fax: 775-307-4049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: TROY V BELL
Title or Position: PRESIDENT/CEO
Credential:
Phone: 208-221-0481