NPI age
19 years
Enumerated 2007-04-11
● Active Type 2 · Organization
Clearwater Care Center, Inc.
Clearwater Care Center, Inc. is 1 of 6 intermediate care facility, mental illness organizations in Idaho.
Primary specialty
Intermediate Care Facility, Mental Illness
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stephens
Administrator
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 6 active intermediate care facility, mental illness providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1411 Falls Ave E, Suite 703
Twin Falls, ID 833013455
Mailing address
1411 Falls Ave E, Suite 703
Twin Falls, ID 833013455
Authorized official
Rene Stephens
Administrator
📞 2087348973
Individual providers at this organization
8 individual providers on file at this primary practice address.
- David Billings, DPT Physical Therapist NPI 1215233952
- Tonya Ford, O.D. Optometrist NPI 1558372052
- Eva Garcia Nurse Practitioner NPI 1508517061
- Joshua Jenkins, D.M.D. Dentist NPI 1659682912
- Trent Pryor, D.M.D Dentist NPI 1780813691
- Ted Rea, M.D. Internal Medicine NPI 1497795215
- Michael Sprague, PT, DPT Physical Therapist NPI 1427354257
- Brian Tureman, PA Physician Assistant NPI 1790724680
Specialties
-
Intermediate Care Facility, Mental Illness PrimaryA nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 8067840 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Clear Creek Home
Practice context
Multi-provider organization. 8 individual providers 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.