BRENDA ELAINE DILBECK
NPI 1861742736
Intermediate Care Facility, Intellectual Disabilities in Boise, ID

Active since September 18, 2012
4515 N GLENWOOD ST, BOISE, ID 83704(208) 629-4290(208) 629-4290 Get Directions Write a Review

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brenda Elaine Dilbeck NPPES

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

BRENDA ELAINE DILBECK (NPI 1861742736) is an individual intermediate care facility, intellectual disabilities provider in Boise, Idaho and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1861742736
Entity TypeIndividualFemale
Primary Taxonomy315P00000X
Provider Legal NameBRENDA ELAINE DILBECK
Location Address4515 N GLENWOOD STBoise, ID 83704-3012
Mailing Address4519 N Glenwood StBoise, ID 83704-3012 · (208) 323-7514 · Fax (208) 323-7514
Fax(208) 629-4290
Sole ProprietorYes
Enumeration DateSeptember 18, 2012
NPI 1861742736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

4515 N GLENWOOD ST, Boise, ID 83704

Other Identifiers 1

MedicaidM8063096ID

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861742736, enumerated as an "individual" on September 18, 2012.

The provider is located at 4515 N GLENWOOD ST BOISE, ID 83704 and the phone number is (208) 629-4290.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.