Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Coeur D Alene Homes Phase II

Assisted Living Facility in Coeur D Alene, ID · enumerated 2020 · authorized official Tiffany Pettit, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306459599

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Coeur D Alene Homes Phase II

Other name <Unavail>

Practice address 624 W Harrison Ave, Coeur D Alene, ID, 83814

Phone (208) 664-8119

Fax (208) 292-2551

Enumeration date Aug 26, 2020

Last updated in NPPES Apr 24, 2025

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Tiffany Pettit

Title Administrator

Phone (208) 664-8119

Other identifiers

Identifier	Type	State	Issuer
M8075669	Medicaid	ID	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-04-24. Verify at npiregistry.cms.hhs.gov.

Where is Coeur D Alene Homes Phase II located?

The practice location on file with NPPES is in Coeur D Alene, ID.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-24.