Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jefferson Residential Services, Inc

Organization Assisted Living Facility · NPI 1780901967

Jefferson Residential Services, Inc is an Assisted Living Facility in Roberts, Idaho. Licensed in Idaho. Registered with an NPI since 2010.

Licensed in
ID
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2859 E 650 N
Roberts, ID 83444-5095
Phone: (208) 228-6045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence RC-960 (ID)

Record details

NPI number1780901967
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Graves — Assistant Director · (208) 228-6045
NPI enumeratedApril 27, 2010
Last updated in NPPESApril 27, 2010
Mailing address2859 E 650 N, Roberts, ID 83444-5095