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Contact Information

CASSIA LONG TERM CARE, INC.
2303 PARK AVE
BURLEY, ID83318-2106
 Phone: 208-677-3073
 Fax: 208-677-3181
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for CASSIA LONG TERM CARE, INC.

NPI # 1669469953
LBN Legal business name CASSIA LONG TERM CARE, INC.
Authorized official SHAUNA KRAUS - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/30/2005
Last updated 09/11/2009 - About 17 years ago
Identifiers
ID License # H20
ID Medicaid 0027610
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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