RULON HOUSE GROUP HOME
NPI 1295954139
Intermediate Care Facility, Intellectual Disabilities in Pocatello, ID

Q: What is South Park, Inc.'s NPI number?

The NPI number for South Park, Inc. is 1295954139. It was assigned to this organization in the NPPES registry on April 25, 2007. The provider is also known as Rulon House Group Home.

Q: What is South Park, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Q: When was this NPI record last updated?

The NPPES record for South Park, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 25, 2007

2369 RULON AVE, POCATELLO, ID 83201(208) 237-5538 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rulon House Group Home NPPES

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

RULON HOUSE GROUP HOME (NPI 1295954139) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Pocatello, Idaho and active in the NPI registry since April 2007. The organization lists Russell C Mccoy, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1295954139

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameSOUTH PARK, INC.

Location Address2369 RULON AVEPocatello, ID 83201-1881

Mailing Address415 S Arthur AvePocatello, ID 83204-3303 · (208) 233-6833 · Fax (208) 233-6842

Phone(208) 237-5538

Organization SubpartNo

Authorized OfficialRussell C MccoyExecutive Director · (208) 233-6833

Enumeration DateApril 25, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1295954139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

License✔ Licensed in ID · 00259790

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

2369 RULON AVE, Pocatello, ID 83201

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Other Names 1

Other NameRulon House Group Home

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 South Park, Inc.'s NPI number?

The NPI number for South Park, Inc. is 1295954139. It was assigned to this organization in the NPPES registry on April 25, 2007. The provider is also known as Rulon House Group Home.

Where is South Park, Inc. located?

South Park, Inc. is located at 2369 Rulon Ave, Pocatello, ID 83201. The listed phone number is (208) 237-5538.

What is South Park, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for South Park, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.