MEDICARE: COMMUNICARE, INC

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	261Q00000X	Clinic/Center	000	ID
2	315P00000X	Intellectual Disabilities Intermediate Care Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962622019
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNICARE, INC

Provider Business Mailing Address
First Line	:	40 W FRANKLIN RD STE F
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83642-2992
Country	:	US
Telephone Number	:	208-888-1155
Fax Number	:	208-888-1156

Provider Business Practice Location Address
First Line	:	40 W FRANKLIN RD
Second Line	:	SUITE F
City	:	MERIDIAN
State	:	ID
Zip	:	83642-2965
Country	:	US
Telephone Number	:	208-888-1155
Fax Number	:	208-888-1156

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	ANNA J. LANTZ
Credential	:
Telephone Number	:	208-888-1155

Provider Enumeration Date	:	04/30/2007
Last Update Date	:	04/27/2026

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Directions to “COMMUNICARE, INC ” Practice Location

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