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Skilled Nursing Facility
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NPI 1558384420
● Active Type 2 · Organization
Kindred Nursing Centers West, Llc
Skilled Nursing Facility · Weiser, ID · NPI 1558384420
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Enumerated 2006 · 19 years on NPI
Kindred Nursing Centers West, Llc is 1 of 173 skilled nursing facility organizations in Idaho.
NPI age
19 years
Enumerated 2006-07-25
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Weaver
Assistant Secretary
Last NPPES update
2017-10-18
Source: monthly bulk 2026-05
How this organization compares
Across 173 active skilled nursing facility providers in Idaho.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2006 → 2026
2006-07 Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
331 E Park St
Weiser, ID 836722053
📞 2085492416 fax 2085490536
Mailing address
680 S 4th St
Louisville, KY 402022407
📞 5025967301 fax 5025964134
Authorized official
Marilyn A Weaver
Assistant Secretary
📞 5025967563
Individual providers at this organization
12 individual providers on file at this primary practice address.
Angela Asp , MS, CCC-SLP
Speech-Language Pathologist
NPI 1770062499
Judy Carroll , MS, CCC-SLP
Speech-Language Pathologist
NPI 1134522543
Carmal Chrisman
Occupational Therapist
NPI 1922260850
Caren Imada , OTR/L
Occupational Therapist
NPI 1699255133
Michael Lafferty , PTA
Physical Therapy Assistant
NPI 1093147308
Audrey Lande , COTA/L
Occupational Therapy Assistant
NPI 1457511081
Karen Lockwood , COTA/L
Occupational Therapy Assistant
NPI 1407018518
Monique McHenry , P.T.
Physical Therapist
NPI 1033371380
Leann McKie
Physical Therapist
NPI 1063674323
William Pentecost , COTA
Occupational Therapy Assistant
NPI 1033542196
Nerissa Scott , PTA
Physical Therapy Assistant
NPI 1609209782
Ellen Westerdaal
Occupational Therapist
NPI 1801058144
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...
ID license #18 taxonomy 314000000X
Identifiers
Type Value Notes
01 (ID)
000010013425
BLUE SHIELD
01 (ID)
01107
BLUE CROSS OF IDAHO
05 (ID)
805218700
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
12 individual providers on file at this primary address.
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How to verify this organization
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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.