NPI age
— years
Enumerated 2025-05-23
● Active Type 2 · Organization
Russet Ridge Healthcare Llc
Russet Ridge Healthcare Llc 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
Burnam
Secretary
Last NPPES update
2026-04-15
Source: monthly bulk 2026-05
How this organization compares
Across 173 active skilled nursing facility providers in Idaho.
NPI age
0 years
↓ 17 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-05Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
1140 N Allumbaugh St
Boise, ID 837048716
Mailing address
1140 N Allumbaugh St
Boise, ID 837048716
Authorized official
Soon Burnam
Secretary
📞 9495401249
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Vitaliy Tsema Physical Therapy Assistant NPI 1861168536
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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Timber Springs Transitional Care
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.