TRINITY MISSION HEALTH & REHAB OF HOLLY, LP
NPI 1477503076
Skilled Nursing Facility in Nampa, ID

Active since May 12, 2006
2105 12TH AVE RD, NAMPA, ID 83686(208) 467-5721(208) 467-2748 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Trinity Mission Health & Rehab Of Holly, Lp NPPES

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

TRINITY MISSION HEALTH & REHAB OF HOLLY, LP (NPI 1477503076) is a healthcare organization registered as a skilled nursing facility in Nampa, Idaho and active in the NPI registry since May 2006. The organization lists Judy Ullery, President, as its authorized official.

NPPES Registry Identity

NPI1477503076
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTRINITY MISSION HEALTH & REHAB OF HOLLY, LP
Location Address2105 12TH AVE RDNampa, ID 83686-6312
Mailing Address2105 12th Ave RdNampa, ID 83686-6312 · (208) 467-5721 · Fax (208) 467-2748
Fax(208) 467-2748
Organization SubpartYesParent: Covenant Dove, Llc
Authorized OfficialJudy UlleryPresident · (901) 937-7994
Enumeration DateMay 12, 2006
Last NPPES UpdateApril 10, 2008
NPI 1477503076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in ID · 29
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
2105 12TH AVE RD, Nampa, ID 83686

Other Identifiers 2

Medicare ID-Type Unspecified13-5094ID
MedicaidA227401ID

Other Providers at the Same Location NPPES 4

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

Skilled Nursing Facility
2105 12TH AVE RD
NAMPA, ID 83686
Physical Therapist
2105 12TH AVE RD
NAMPA, ID 83686
Skilled Nursing Facility
2105 12TH AVE RD
NAMPA, ID 83686
Occupational Therapist
2105 12TH AVE RD
NAMPA, ID 83686

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 Trinity Mission Health & Rehab Of Holly, LP's NPI number?

The NPI number for Trinity Mission Health & Rehab Of Holly, LP is 1477503076. It was assigned to this organization in the NPPES registry on May 12, 2006.

Where is Trinity Mission Health & Rehab Of Holly, LP located?

Trinity Mission Health & Rehab Of Holly, LP is located at 2105 12th Ave Rd, Nampa, ID 83686. The listed phone number is (208) 467-5721.

What is Trinity Mission Health & Rehab Of Holly, LP's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Trinity Mission Health & Rehab Of Holly, LP was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.