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COEUR D ALENE HOMES PHASE II
NPI 1306459599
Assisted Living Facility in Coeur D Alene, ID

Active since August 26, 2020
624 W HARRISON AVE, COEUR D ALENE, ID 83814(208) 664-8119(208) 292-2551 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coeur D Alene Homes Phase Ii NPPES

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

COEUR D ALENE HOMES PHASE II (NPI 1306459599), doing business as Orchard Ridge Assisted Living, is a healthcare organization registered as an assisted living facility in Coeur D Alene, Idaho and active in the NPI registry since August 2020. The organization lists Tiffany Pettit, Administrator, as its authorized official.

NPPES Registry Identity

NPI1306459599
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOEUR D ALENE HOMES PHASE II
Location Address624 W HARRISON AVECoeur D Alene, ID 83814-5286
Mailing Address624 W Harrison AveCoeur D Alene, ID 83814-5286 · (208) 664-8119
Phone(208) 664-8119
Fax(208) 292-2551
Organization SubpartNo
Authorized OfficialTiffany PettitAdministrator · (208) 664-8119
Enumeration DateAugust 26, 2020
Last NPPES UpdateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1306459599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
624 W HARRISON AVE, Coeur D Alene, ID 83814
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Other Names 1

Doing Business AsOrchard Ridge Assisted Living

Other Identifiers 1

MedicaidM8075669ID

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 Coeur D Alene Homes Phase II's NPI number?

The NPI number for Coeur D Alene Homes Phase II is 1306459599. It was assigned to this organization in the NPPES registry on August 26, 2020. The provider is doing business as Orchard Ridge Assisted Living.

Where is Coeur D Alene Homes Phase II located?

Coeur D Alene Homes Phase II is located at 624 W Harrison Ave, Coeur D Alene, ID 83814. The listed phone number is (208) 664-8119.

What is Coeur D Alene Homes Phase II's specialty?

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

When was this NPI record last updated?

The NPPES record for Coeur D Alene Homes Phase II was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.