P Praxis·MD
● Active Type 2 · Organization

Titan Willow Operator Llc

Assisted Living Facility·Blackfoot, ID· NPI 1326734062 · Enumerated 2023 · 3 years on NPI
Titan Willow Operator Llc is 1 of 201 assisted living facility organizations in Idaho.
NPI age
3 years
Enumerated 2023-04-14
Primary specialty
Assisted Living Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kaseff
Manager
Last NPPES update
2023-05-22
Source: monthly bulk 2026-05

How this organization compares

Across 201 active assisted living facility providers in Idaho.

NPI age
3 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2023 → 2026

2023-04Enumerated in NPPES
2023 2026

Where they practice

Primary practice location
898 S Meridian St
Blackfoot, ID 832212660
📞 2087821478
Mailing address
2301 Rosecrans Ave Ste 4170
El Segundo, CA 902454966

Authorized official

Kevin Kaseff
Manager
📞 3107250120

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

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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