OrganizationActive
Jefferson Residential Services, Inc.
NPI 1780901967 · Assisted Living Facility · Roberts, ID
Provider details
- NPI number
- 1780901967
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Todd Graves, Assistant Director(208) 228-6045
- License
- RC-960 (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
16 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
2859 E 650 N
Roberts, ID 83444-5095
Phone: (208) 228-6045
Street-level locationGet directions
Mailing address
2859 E 650 N
Roberts, ID 83444-5095
Registry dates
- Enumerated
- 2010-04-27
- Last updated
- 2010-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.