OrganizationActive
St. Luke'S Elks Childrens Rehab
NPI 1548697006 · Children's Rehabilitation Hospital · Boise, ID
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.