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ETOSHA ASSISTED LIVING, INC
NPI 1407462906
Assisted Living Facility in Rupert, ID

Active since September 20, 2020
243 N 300 E, RUPERT, ID 83350(208) 436-3332(208) 436-1289 Get Directions Write a Review

NPPES record last updated: September 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Etosha Assisted Living, Inc NPPES

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

ETOSHA ASSISTED LIVING, INC (NPI 1407462906) is a healthcare organization registered as an assisted living facility in Rupert, Idaho and active in the NPI registry since September 2020. The organization lists Deborah O Covey, Owner, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1407462906
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameETOSHA ASSISTED LIVING, INC
Location Address243 N 300 ERupert, ID 83350-9491
Mailing Address243 N 300 ERupert, ID 83350-9491 · (530) 510-0283 · Fax (208) 436-1289
Phone(208) 436-3332
Fax(208) 436-1289
Organization SubpartNo
Authorized OfficialDeborah O CoveyOwner, Director Of Operations · (530) 510-0283
Enumeration DateSeptember 20, 2020
NPPES CertifiedSeptember 20, 2020
✔ NPI 1407462906 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.
243 N 300 E, Rupert, ID 83350
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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 Etosha Assisted Living, Inc's NPI number?

The NPI number for Etosha Assisted Living, Inc is 1407462906. It was assigned to this organization in the NPPES registry on September 20, 2020.

Where is Etosha Assisted Living, Inc located?

Etosha Assisted Living, Inc is located at 243 N 300 E, Rupert, ID 83350. The listed phone number is (208) 436-3332.

What is Etosha Assisted Living, Inc'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 Etosha Assisted Living, Inc was last updated on September 20, 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.