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NPI 1326193863
● Active Type 2 · Organization
Subpart
Eagle Healthcare Inc
Skilled Nursing Facility · Lewiston, ID · NPI 1326193863
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Enumerated 2007 · 19 years on NPI
Eagle Healthcare Inc is 1 of 173 skilled nursing facility organizations in Idaho.
NPI age
19 years
Enumerated 2007-01-24
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Schmidt
Controller
Last NPPES update
2008-12-09
Source: monthly bulk 2026-05
How this organization compares
Across 173 active skilled nursing facility providers in Idaho.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2007 → 2026
2007-01 Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1014 Burrell Ave
Lewiston, ID 835015472
📞 2087434558 fax 2087467657
Mailing address
12015 115th Ave Ne # E195
Kirkland, WA 980346940
📞 4252853891 fax 4252853899
Authorized official
Greg Schmidt
Controller
📞 4252853891
Individual providers at this organization
10 individual providers on file at this primary practice address.
Steve Fuller
Physical Therapist
NPI 1942610985
Kiersten Hagle , RN
Registered Nurse
NPI 1992474712
Kara Herndon , RD
Dietitian, Registered
NPI 1013691633
Breanna Jenks , COTA/L
Occupational Therapy Assistant
NPI 1699029439
Lauren Keeney
Dietitian, Registered
NPI 1447861778
Johanne Schmidt , OTR/L
Occupational Therapist
NPI 1730389131
Selena Skolrud , MS, SLPCF
Speech-Language Pathologist
NPI 1144572561
James Stephenson , PTA
Developmental Therapist
NPI 1801452248
Jackie St Marie , SLP
Speech-Language Pathologist
NPI 1699434639
Christina Taylor , PTA
Physical Therapy Assistant
NPI 1396275749
Specialties
Skilled Nursing Facility
Primary
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness...
ID license #30 taxonomy 314000000X
Identifiers
Type Value Notes
05 (ID)
805587500
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
10 individual providers on file at this primary address.
Subpart of Eagle Healthcare, Inc .
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.