NPI age
4 years
Enumerated 2022-03-01
● Active Type 2 · Organization
Table Rock Senior Living Llc
Table Rock Senior Living Llc is 1 of 201 assisted living facility organizations in Idaho.
Primary specialty
Assisted Living Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Tueller
Secretary
Last NPPES update
2025-06-11
Source: monthly bulk 2026-05
How this organization compares
Across 201 active assisted living facility providers in Idaho.
NPI age
4 years
≈ at median (5 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-03Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
1675 E Riverside Dr Ste 150
Eagle, ID 836167584
Mailing address
1675 E Riverside Dr Ste 150
Eagle, ID 836167584
Authorized official
Amber L Tueller
Secretary
📞 2082072726
Specialties
-
Assisted Living Facility PrimaryA 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.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Table Rock Senior Living at Barber Station
Practice context
Single-site organization. Only one practice location on file.
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- 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.