BLAINE MANOR
NPI 1760438964
Skilled Nursing Facility in Hailey, ID

Active since May 26, 2006
706 S MAIN ST, HAILEY, ID 83333(208) 578-3504(208) 788-7210 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blaine Manor NPPES

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

BLAINE MANOR (NPI 1760438964) is a healthcare organization registered as a skilled nursing facility in Hailey, Idaho and active in the NPI registry since May 2006. The organization lists Gail Goglia, Administrator, as its authorized official.

NPPES Registry Identity

NPI1760438964
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBLAINE MANOR
Location Address706 S MAIN STHailey, ID 83333
Mailing AddressPo Box 927Hailey, ID 83333-0927 · (208) 578-3504 · Fax (208) 788-7210
Fax(208) 788-7210
Organization SubpartNo
Authorized OfficialGail GogliaAdministrator · (208) 578-3502
Enumeration DateMay 26, 2006
Last NPPES UpdateDecember 18, 2007
NPI 1760438964 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 · H6
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.
706 S MAIN ST, Hailey, ID 83333

Other Identifiers 2

Medicare NSC5469580001ID
Medicare OSCAR/certification135069ID

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.

Physician Assistant (Medical)
706 S MAIN ST
HAILEY, ID 83333
Family Medicine
706 S MAIN ST
HAILEY, ID 83333
Skilled Nursing Facility
706 S MAIN ST
HAILEY, ID 83333
Nurse Practitioner
706 S MAIN ST
HAILEY, ID 83333

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 Blaine Manor's NPI number?

The NPI number for Blaine Manor is 1760438964. It was assigned to this organization in the NPPES registry on May 26, 2006.

Where is Blaine Manor located?

Blaine Manor is located at 706 S Main St, Hailey, ID 83333. The listed phone number is (208) 578-3504.

What is Blaine Manor'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 Blaine Manor was last updated on December 18, 2007. 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.