Provider Demographics
NPI:1801351176
Name:TANABELL HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:TANABELL HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:V
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-221-0481
Mailing Address - Street 1:4881 CLOVER DELL RD
Mailing Address - Street 2:
Mailing Address - City:CHUBBUCK
Mailing Address - State:ID
Mailing Address - Zip Code:83202-1805
Mailing Address - Country:US
Mailing Address - Phone:208-252-5902
Mailing Address - Fax:775-307-4049
Practice Address - Street 1:2656 E MAGICVIEW DR
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83646
Practice Address - Country:US
Practice Address - Phone:208-996-2801
Practice Address - Fax:208-996-2805
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TANABELL HEALTH SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-31
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility