NPI Code Detail JSON Logo

1679902936 NPI number — GABLES HOLDINGS LLC

NPI Number: 1679902936
Health Care Provider/Practitioner: GABLES HOLDINGS LLC

Information about “1679902936” NPI (GABLES HOLDINGS LLC) exists in 1679902936 in HTML format HTML  |  1679902936 in plain Text format TXT  |  1679902936 in PDF (Portable Document Format) PDF  |  1679902936 in an XML format XML  formats.

NPI Number : 1679902936 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679902936",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GABLES HOLDINGS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 26",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BLACKFOOT",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83221-0026",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-785-1820",
    "MailingAddressFaxNumber": "208-785-1824",
    "FirstLinePracticeLocationAddress": "2815 HUNTERS LOOP",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BLACKFOOT",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83221-6206",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-785-2506",
    "PracticeLocationAddressFaxNumber": "208-785-2507",
    "EnumerationDate": "11/07/2013",
    "LastUpdateDate": "07/15/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ROBBINS",
    "AuthorizedOfficialFirstName": "MICHAEL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "BUSINESS MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "208-785-1820",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "310400000X",
          "TaxonomyName": "Assisted Living Facility",
          "LicenseNumber": "RC-1061",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "310400000X",
          "TaxonomyName": "Assisted Living Facility",
          "LicenseNumber": "RC-1062",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "310400000X",
          "TaxonomyName": "Assisted Living Facility",
          "LicenseNumber": "RC-1063",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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