P Praxis·MD
● Active Type 2 · Organization

Wilkinson Georgia Idaho Senior Housing Llc

Point of Service·Coeur D Alene, ID· NPI 1700078524 · Enumerated 2007 · 18 years on NPI
Wilkinson Georgia Idaho Senior Housing Llc is 1 of 10 point of service organizations in Idaho.
NPI age
18 years
Enumerated 2007-08-15
Primary specialty
Point of Service
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Holtz
Controller
Last NPPES update
2008-06-19
Source: monthly bulk 2026-05

How this organization compares

Across 10 active point of service providers in Idaho.

NPI age
18 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-08Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
840 E Dalton Ave
Coeur D Alene, ID 838159338
📞 2086652100fax 2086659250
Mailing address
78 Centennial Loop
Eugene, OR 974017900
📞 5414743373fax 5417465781

Authorized official

John Holtz
Controller
📞 5417473373

Specialties

  • Point of Service Primary
    This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
    taxonomy 305S00000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • FOUR SEASONS ASSITED LIVING
    Type code 5 recorded 2008-06-19

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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