P Praxis·MD
● Active Type 2 · Organization

Coeur D Alene Homes Phase II

Assisted Living Facility·Coeur D Alene, ID· NPI 1306459599 · Enumerated 2020 · 5 years on NPI
Coeur D Alene Homes Phase II is 1 of 201 assisted living facility organizations in Idaho.
NPI age
5 years
Enumerated 2020-08-26
Primary specialty
Assisted Living Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pettit
Administrator
Last NPPES update
2025-04-24
Source: monthly bulk 2026-05

How this organization compares

Across 201 active assisted living facility providers in Idaho.

NPI age
5 years
≈ at median (5 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2020 → 2026

2020-08Enumerated in NPPES
2020 2026

Where they practice

Primary practice location
624 W Harrison Ave
Coeur D Alene, ID 838145286
📞 2086648119fax 2082922551
Mailing address
624 W Harrison Ave
Coeur D Alene, ID 838145286
📞 2086648119

Authorized official

Tiffany Pettit
Administrator
📞 2086648119

Specialties

  • Assisted Living Facility Primary
    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.
    taxonomy 310400000X

Identifiers

TypeValueNotes
05 (ID) M8075669

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Orchard Ridge Assisted Living
    Type code 3 recorded 2025-04-24

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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