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BOUNDARY COUNTY COMMUNITY RESTORIUM
NPI 1235598137
Assisted Living Facility in Bonners Ferry, ID

Active since February 19, 2016CLIA 13D2198697 · Waiver
6619 KANIKSU ST, BONNERS FERRY, ID 83805(208) 267-2453(208) 267-7823 Get Directions Write a Review

NPPES record last updated: February 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Boundary County Community Restorium NPPES

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

BOUNDARY COUNTY COMMUNITY RESTORIUM (NPI 1235598137) is a healthcare organization registered as an assisted living facility in Bonners Ferry, Idaho and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through November 2, 2026 and lists Karlene Magee, Administrator, as its authorized official.

NPPES Registry Identity

NPI1235598137
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBOUNDARY COUNTY COMMUNITY RESTORIUM
Location Address6619 KANIKSU STBonners Ferry, ID 83805-7532
Mailing Address6619 Kaniksu StBonners Ferry, ID 83805-7532 · (208) 267-2453 · Fax (208) 267-7823
Phone(208) 267-2453
Fax(208) 267-7823
Organization SubpartNo
Authorized OfficialKarlene MageeAdministrator · (208) 267-2453
Enumeration DateFebruary 19, 2016
✔ NPI 1235598137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in ID · RC-118
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
6619 KANIKSU ST, Bonners Ferry, ID 83805
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Other Identifiers 1

MedicaidA0000437ID

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 13D2198697

Boundary County Community Restorium · Bonners Ferry, ID
Active · expires Nov 2, 2026
CLIA Number13D2198697
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorKarlene E. Magee
Laboratory Phone(208) 267-2453
Laboratory LocationBoundary County Community Restorium6619 Kaniksu St, Bonners Ferry, ID 83805
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Boundary County Community Restorium's NPI number?

The NPI number for Boundary County Community Restorium is 1235598137. It was assigned to this organization in the NPPES registry on February 19, 2016.

Where is Boundary County Community Restorium located?

Boundary County Community Restorium is located at 6619 Kaniksu St, Bonners Ferry, ID 83805. The listed phone number is (208) 267-2453.

What is Boundary County Community Restorium's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Boundary County Community Restorium hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2198697) is associated with this NPI, valid through November 2, 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 Boundary County Community Restorium was last updated on February 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.