OrganizationActive
Table Rock Senior Living LLC
NPI 1407502297 · Assisted Living Facility · Eagle, ID
Table Rock Senior Living LLC is a Assisted Living Facility organization in Eagle, ID (NPI 1407502297).
Provider details
- NPI number
- 1407502297
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Amber Tueller, Secretary(208) 207-2726
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1675 E Riverside Dr Ste 150
Eagle, ID 83616-7584
Phone: (208) 401-1400
Street-level locationGet directions
Mailing address
1675 E Riverside Dr Ste 150
Eagle, ID 83616-7584
Other names (DBA / former)
- Doing business as
- Table Rock Senior Living at Barber Station
Registry dates
- Enumerated
- 2022-03-01
- Last updated
- 2025-06-11
- Certified
- 2025-06-11
Frequently asked questions
- What is Table Rock Senior Living LLC's NPI number?
- Table Rock Senior Living LLC's National Provider Identifier (NPI) is 1407502297, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Table Rock Senior Living LLC?
- Table Rock Senior Living LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Table Rock Senior Living LLC located?
- Table Rock Senior Living LLC's practice location on file with NPPES is 1675 E Riverside Dr Ste 150, Eagle, ID 83616-7584.
- What is Table Rock Senior Living LLC's phone number?
- The practice phone number listed in the NPPES registry for Table Rock Senior Living LLC is (208) 401-1400.
- Who is the authorized official for Table Rock Senior Living LLC?
- The authorized official listed on Table Rock Senior Living LLC's NPPES record is Amber Tueller, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Table Rock Senior Living LLC's NPI active?
- Yes — Table Rock Senior Living LLC's NPI (1407502297) is active in the NPPES registry as of the last update on 2025-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.