State of Idaho
NPI 1962755868ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Hayden, ID
Intermediate Care Facility, Intellectual Disabilities in Hayden, Idaho, registered in NPPES in October 2012. The authorized official on file is Susan Broetje, Administrator.
Overview
| NPI | 1962755868 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 17, 2012 |
| Last updated in NPPES | Oct 17, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | 81 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|