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Spokane-Idaho Falls LLC

NPI 1821713710ActiveOrganization· Assisted Living Facility· Idaho Falls, ID

Assisted Living Facility in Idaho Falls, Idaho, registered in NPPES in October 2022, part of Idfalls, LLC. The authorized official on file is Machelle Rae Bergeman, General Manager.

Overview

NPI1821713710
StatusActive
Entity typeOrganization (subpart)
Parent organizationIdfalls, LLC
NPI issuedOct 4, 2022
Last updated in NPPESOct 4, 2022
Certified by providerOct 4, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Assisted Living Facility Primary310400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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