OrganizationActive
St. Luke'S Elks Childrens Rehab
NPI 1548697006 · Children's Rehabilitation Hospital · Boise, ID
St. Luke'S Elks Childrens Rehab is a Children's Rehabilitation Hospital organization in Boise, ID (NPI 1548697006).
Provider details
- NPI number
- 1548697006
- Entity type
- Organization
- Primary specialty
- Children's Rehabilitation HospitalHospitals
- Organization subpart
- No
- Authorized official
- Brent Wilson, Compliance and Risk Management(208) 489-4761
- License
- SLP-2340 (ID)
Specialties & taxonomies
Hospitals
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
405 W Myrtle St
Boise, ID 83702-7658
Phone: (208) 489-5880
Street-level locationGet directions
Mailing address
405 W Myrtle St
Boise, ID 83702-7658
Registry dates
- Enumerated
- 2013-09-30
- Last updated
- 2013-09-30
Frequently asked questions
- What is St. Luke'S Elks Childrens Rehab's NPI number?
- St. Luke'S Elks Childrens Rehab's National Provider Identifier (NPI) is 1548697006, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St. Luke'S Elks Childrens Rehab?
- St. Luke'S Elks Childrens Rehab is classified in the NPPES registry as Children's Rehabilitation Hospital (Hospitals).
- Where is St. Luke'S Elks Childrens Rehab located?
- St. Luke'S Elks Childrens Rehab's practice location on file with NPPES is 405 W Myrtle St, Boise, ID 83702-7658.
- What is St. Luke'S Elks Childrens Rehab's phone number?
- The practice phone number listed in the NPPES registry for St. Luke'S Elks Childrens Rehab is (208) 489-5880.
- Who is the authorized official for St. Luke'S Elks Childrens Rehab?
- The authorized official listed on St. Luke'S Elks Childrens Rehab's NPPES record is Brent Wilson, Compliance and Risk Management. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St. Luke'S Elks Childrens Rehab's NPI active?
- Yes — St. Luke'S Elks Childrens Rehab's NPI (1548697006) is active in the NPPES registry as of the last update on 2013-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.