P Praxis·MD
● Active Type 2 · Organization

Etosha Assisted Living, Inc

Assisted Living Facility·Rupert, ID· NPI 1407462906 · Enumerated 2020 · 5 years on NPI
Etosha Assisted Living, Inc is 1 of 201 assisted living facility organizations in Idaho.
NPI age
5 years
Enumerated 2020-09-20
Primary specialty
Assisted Living Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Covey
Owner, Director Of Operations
Last NPPES update
2020-09-20
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

2020-09Enumerated in NPPES
2020 2026

Where they practice

Primary practice location
243 N 300 E
Rupert, ID 833509491
📞 2084363332fax 2084361289
Mailing address
243 N 300 E
Rupert, ID 833509491
📞 5305100283fax 2084361289

Authorized official

Deborah O Covey
Owner, Director Of Operations
📞 5305100283

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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