OrganizationActive
Oak Creek Rehabilitation Center of Kimberly LLC
NPI 1194031286 · Skilled Nursing Facility · Kimberly, ID
Provider details
- NPI number
- 1194031286
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- James Everton, Ceo(208) 233-4673
- License
- 17 (ID)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 Polk St E
Kimberly, ID 83341-1618
Phone: (208) 423-5591
Fax: (208) 423-5651
Street-level locationGet directions
Mailing address
275 S 5th Ave
Pocatello, ID 83201-6400
Registry dates
- Enumerated
- 2010-08-26
- Last updated
- 2010-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.