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Contact Information

MINI-CASSIA HEARTS 4 SENIORS
135 EAST 23RD DRIVE
BURLEY, ID83318
 Phone: 208-312-5715
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for MINI-CASSIA HEARTS 4 SENIORS

NPI Number 1831654243
LBN Legal business name MINI-CASSIA HEARTS 4 SENIORS
Authorized official HOLLI ROWE - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2019
Last updated 08/10/2022 - About 4 years ago
Identifiers
ID Medicaid A0003627
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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