TABLE ROCK SENIOR LIVING LLC
NPI 1407502297
Assisted Living Facility in Eagle, ID

Active since March 01, 2022
1675 E RIVERSIDE DR STE 150, EAGLE, ID 83616(208) 401-1400 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2025, Mar 1, 2022 (2 updates tracked since 2022).

About Table Rock Senior Living Llc NPPES

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

TABLE ROCK SENIOR LIVING LLC (NPI 1407502297), doing business as Table Rock Senior Living At Barber Station, is a healthcare organization registered as an assisted living facility in Eagle, Idaho and active in the NPI registry since March 2022. The organization lists Amber L Tueller, Secretary, as its authorized official.

NPPES Registry Identity

NPI1407502297
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTABLE ROCK SENIOR LIVING LLC
Location Address1675 E RIVERSIDE DR STE 150Eagle, ID 83616-7584
Mailing Address1675 E Riverside Dr Ste 150Eagle, ID 83616-7584 · (208) 401-1400
Organization SubpartNo
Authorized OfficialAmber L TuellerSecretary · (208) 207-2726
Enumeration DateMarch 1, 2022
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
NPI 1407502297 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.

1675 E RIVERSIDE DR STE 150, Eagle, ID 83616

Other Names 1

Doing Business AsTable Rock Senior Living At Barber Station

Other Providers at the Same Location NPPES 9

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

Home Health
1675 E RIVERSIDE DR STE 150
EAGLE, ID 83616
Assisted Living Facility
1675 E RIVERSIDE DR STE 150
EAGLE, ID 83616
Assisted Living Facility
1675 E RIVERSIDE DR STE 150
EAGLE, ID 83616
In Home Supportive Care
1675 E RIVERSIDE DR STE 150
EAGLE, ID 83616
Home Health
1675 E RIVERSIDE DR STE 150
EAGLE, ID 83616
Hospice Care, Community Based
1675 E RIVERSIDE DR STE 150
EAGLE, ID 83616
Assisted Living Facility
1675 E RIVERSIDE DR STE 150
EAGLE, ID 83616
Hospice Care, Community Based
1675 E RIVERSIDE DR STE 150
EAGLE, ID 83616

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 Table Rock Senior Living LLC's NPI number?

The NPI number for Table Rock Senior Living LLC is 1407502297. It was assigned to this organization in the NPPES registry on March 1, 2022. The provider is doing business as Table Rock Senior Living at Barber Station.

Where is Table Rock Senior Living LLC located?

Table Rock Senior Living LLC is located at 1675 E Riverside Dr Ste 150, Eagle, ID 83616. The listed phone number is (208) 401-1400.

What is Table Rock Senior Living LLC'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 Table Rock Senior Living LLC was last updated on June 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.