P Praxis·MD
● Active Type 2 · Organization

Shoshone Rehab And Living Center

Skilled Nursing Facility·Shoshone, ID· NPI 1750309795 · Enumerated 2006 · 19 years on NPI
Shoshone Rehab And Living Center is 1 of 173 skilled nursing facility organizations in Idaho.
NPI age
19 years
Enumerated 2006-07-18
Primary specialty
Skilled Nursing Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sullivan
Business Office Manager
Last NPPES update
2020-08-22
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
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
511 East 4th Street
Shoshone, ID 83352
📞 2088862228fax 2088862549
Mailing address
511 E 4th St
Shoshone, ID 833525380
📞 2088862228fax 2088862549

Authorized official

Sharon Rae Sullivan
Business Office Manager
📞 2088862228

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 #20 taxonomy 314000000X

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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