OAK CREEK REHABILITATION CENTER OF KIMBERLY LLC
NPI 1194031286
Skilled Nursing Facility in Kimberly, ID

Active since August 26, 2010CLIA 13D0703636 · Waiver
500 POLK ST E, KIMBERLY, ID 83341(208) 423-5591(208) 423-5651 Get Directions Write a Review

NPPES record last updated: August 26, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oak Creek Rehabilitation Center Of Kimberly Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OAK CREEK REHABILITATION CENTER OF KIMBERLY LLC (NPI 1194031286) is a healthcare organization registered as a skilled nursing facility in Kimberly, Idaho and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists James B Everton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194031286
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameOAK CREEK REHABILITATION CENTER OF KIMBERLY LLC
Location Address500 POLK ST EKimberly, ID 83341-1618
Mailing Address275 S 5th Ave, Lower LevelPocatello, ID 83201-6400 · (208) 233-4673 · Fax (208) 233-4750
Fax(208) 423-5651
Organization SubpartNo
Authorized OfficialJames B EvertonCeo · (208) 233-4673
Enumeration DateAugust 26, 2010
NPI 1194031286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in ID · 17
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
500 POLK ST E, Kimberly, ID 83341

Other Identifiers 1

Medicare OSCAR/certification135084ID

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D0703636

Oak Creek Rehabilitation Center Of Kimberly · Kimberly, ID
Active · expires Aug 31, 2026
CLIA Number13D0703636
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDaniel Bahrt
Laboratory Phone(801) 471-2464
Laboratory LocationOak Creek Rehabilitation Center Of Kimberly500 Polk St E #k, Kimberly, ID 83341
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
500 POLK ST E
KIMBERLY, ID 83341
Psychiatric Hospital
500 POLK ST E
KIMBERLY, ID 83341
Psychiatric Hospital
500 POLK ST E
KIMBERLY, ID 83341
Psychiatric Hospital
500 POLK ST E
KIMBERLY, ID 83341
Psychiatric Hospital
500 POLK ST E
KIMBERLY, ID 83341
Skilled Nursing Facility
500 POLK ST E
KIMBERLY, ID 83341
Clinic/Center (Adult Mental Health)
500 POLK ST E
KIMBERLY, ID 83341

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oak Creek Rehabilitation Center Of Kimberly LLC's NPI number?

The NPI number for Oak Creek Rehabilitation Center Of Kimberly LLC is 1194031286. It was assigned to this organization in the NPPES registry on August 26, 2010.

Where is Oak Creek Rehabilitation Center Of Kimberly LLC located?

Oak Creek Rehabilitation Center Of Kimberly LLC is located at 500 Polk St E, Kimberly, ID 83341. The listed phone number is (208) 423-5591.

What is Oak Creek Rehabilitation Center Of Kimberly LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Oak Creek Rehabilitation Center Of Kimberly LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D0703636) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Oak Creek Rehabilitation Center Of Kimberly LLC was last updated on August 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.