Brenda Elaine Dilbeck
Intermediate Care Facility, Intellectual Disabilities in Boise, ID. Individual provider (NPI-1).
Details
- NPI
- 1861742736
- Entity type
- Individual (NPI-1)
- Name
- Brenda Elaine Dilbeck
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 18, 2012
- Last updated
- Sep 18, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | – | – | Yes |
Practice location
4515 N Glenwood StBoise, ID 83704-3012
Phone 208-629-4290 · Fax 208-629-4290
Mailing address
4519 N Glenwood StBoise, ID 83704-3012
Phone 208-323-7514 · Fax 208-323-7514
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 14 Intellectual Disabilities Intermediate Care Facility providers in Boise · All 12,265 providers in Boise
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