COMPLEX CARE HOSPTIAL OF IDAHO
NPI 1427293521
Long Term Care Hospital in Meridian, ID

NPI Status: Active since December 04, 2008

Contact Information

2131 S BONITO WAY
MERIDIAN, ID
ZIP 83642
Phone: (877) 801-2244
Fax: (208) 489-9599

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Long Term Care Hospital

About COMPLEX CARE HOSPTIAL OF IDAHO

This page provides the complete NPI Profile along with additional information for Complex Care Hosptial Of Idaho, a provider established in Meridian, Idaho operating as a Long Term Care Hospital. The healthcare provider is registered in the NPI registry with number 1427293521 assigned on December 2008. The practitioner's primary taxonomy code is 282E00000X with license number 69 (ID). The provider is registered as an organization and their NPI record was last updated 13 years ago. Complex Care Hosptial Of Idaho operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Complex Care Hosptial Of Idaho. The authorized official of this NPI record is Mr. John Michael Cronin (Vice President)

NPI: 1427293521
Provider Legal Name: BOISE INTENSIVE CARE HOSPITAL INC
Other Organization Name: COMPLEX CARE HOSPTIAL OF IDAHO
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 2131 S BONITO WAY MERIDIAN, ID 83642
Location Phone: (877) 801-2244
Location Fax: (208) 489-9599
Mailing Address: 5340 LEGACY DR SUITE 150 PLANO, TX 75024
Mailing Phone: (469) 241-2100
Mailing Fax: (208) 489-9599
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 12-04-2008
Last Update Date: 01-07-2013
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Long Term Care Hospital
Taxonomy Code: 282E00000X
Type: Hospitals
License No.: 69
License State: ID
Taxonomy Description: Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	208M00000X	Allopathic & Osteopathic Physicians	Hospitalist	69 (ID)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MR. JOHN MICHAEL CRONIN
Authorized Official Title: VICE PRESIDENT
Authorized Official Phone: (469) 241-2128

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
1369006	OTHER (01)	ID	MEDICARE - B
132002	MEDICARE OSCAR/CERTIFICATION (06)	ID
808282500	MEDICAID (05)	ID

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	4	2	7	2	9	3	5	2	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	4	4	7	4	9	6	5	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 4 + 9 + 6 + 5 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 1									1

The NPI number 1427293521 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.