JEFFERSON RESIDENTIAL SERVICES, INC.
NPI 1780901967
Assisted Living Facility in Roberts, ID

Q: What is Jefferson Residential Services, Inc.'s NPI number?

The NPI number for Jefferson Residential Services, Inc. is 1780901967. It was assigned to this organization in the NPPES registry on April 27, 2010.

Q: What is Jefferson Residential Services, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since April 27, 2010

2859 E 650 N, ROBERTS, ID 83444(208) 228-6045 Get Directions Write a Review

NPPES record last updated: April 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jefferson Residential Services, Inc. NPPES

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

JEFFERSON RESIDENTIAL SERVICES, INC. (NPI 1780901967) is a healthcare organization registered as an assisted living facility in Roberts, Idaho and active in the NPI registry since April 2010. The organization lists Todd Graves, Assistant Director, as its authorized official.

NPPES Registry Identity

NPI1780901967

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameJEFFERSON RESIDENTIAL SERVICES, INC.

Location Address2859 E 650 NRoberts, ID 83444-5095

Mailing Address2859 E 650 NRoberts, ID 83444-5095 · (208) 228-6234

Phone(208) 228-6045

Organization SubpartNo

Authorized OfficialTodd GravesAssistant Director · (208) 228-6045

Enumeration DateApril 27, 2010

✔ NPI 1780901967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in ID · RC-960

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.

2859 E 650 N, Roberts, ID 83444

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Other Identifiers 1

Medicaid8082790000ID

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 Jefferson Residential Services, Inc.'s NPI number?

The NPI number for Jefferson Residential Services, Inc. is 1780901967. It was assigned to this organization in the NPPES registry on April 27, 2010.

Where is Jefferson Residential Services, Inc. located?

Jefferson Residential Services, Inc. is located at 2859 E 650 N, Roberts, ID 83444. The listed phone number is (208) 228-6045.

What is Jefferson Residential Services, 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 Jefferson Residential Services, Inc. was last updated on April 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.