NPI age
20 years
Enumerated 2006-05-12
● Active Type 2 · Organization
Subpart
Trinity Mission Health & Rehab Of Holly, Lp
Trinity Mission Health & Rehab Of Holly, Lp is 1 of 173 skilled nursing facility organizations in Idaho.
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ullery
President
Last NPPES update
2008-04-10
Source: monthly bulk 2026-05
How this organization compares
Across 173 active skilled nursing facility providers in Idaho.
NPI age
20 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2105 12th Ave Rd
Nampa, ID 836866312
Mailing address
2105 12th Ave Rd
Nampa, ID 836866312
Authorized official
Judy Ullery
President
📞 9019377994
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Ian Clint Idayan, PT Physical Therapist NPI 1659829869
- Stephanie Rogers Occupational Therapist NPI 1952851248
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | A227401 |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of Covenant Dove, Llc.
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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.