GRACE AT CALDWELL LLC
NPI 1891319141
Assisted Living Facility in Caldwell, ID

Active since June 02, 2020CLIA 13D2194027 · Waiver
518 N 21ST AVE, CALDWELL, ID 83605(208) 455-8181 Get Directions Write a Review

NPPES record last updated: June 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grace At Caldwell Llc NPPES

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

GRACE AT CALDWELL LLC (NPI 1891319141) is a healthcare organization registered as an assisted living facility in Caldwell, Idaho and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through September 27, 2026 and lists Linda Hines, Owner, as its authorized official.

NPPES Registry Identity

NPI1891319141
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGRACE AT CALDWELL LLC
Location Address518 N 21ST AVECaldwell, ID 83605-4368
Mailing Address890 N Cole RdBoise, ID 83704-8638 · (208) 455-8181
Organization SubpartNo
Authorized OfficialLinda HinesOwner · (208) 455-8181
Enumeration DateJune 2, 2020
NPPES CertifiedJune 2, 2020
NPI 1891319141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.

518 N 21ST AVE, Caldwell, ID 83605

Other Identifiers 1

MedicaidA0003528ID

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2194027

Grace At Caldwell LLC · Caldwell, ID
Active · expires Sep 27, 2026
CLIA Number13D2194027
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 28, 2024
Certificate Expiration DateSeptember 27, 2026
Laboratory DirectorMonica Heath
Laboratory Phone(208) 455-8181
Laboratory LocationGrace At Caldwell LLC518 N 21st Avenue, Caldwell, ID 83605
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Grace At Caldwell LLC's NPI number?

The NPI number for Grace At Caldwell LLC is 1891319141. It was assigned to this organization in the NPPES registry on June 2, 2020.

Where is Grace At Caldwell LLC located?

Grace At Caldwell LLC is located at 518 N 21st Ave, Caldwell, ID 83605. The listed phone number is (208) 455-8181.

What is Grace At Caldwell LLC's specialty?

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

Does Grace At Caldwell LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2194027) is associated with this NPI, valid through September 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grace At Caldwell LLC was last updated on June 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.