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

Mason Park Healthcare, Inc

Organization Skilled Nursing Facility · NPI 1487453494

Mason Park Healthcare, Inc is a Skilled Nursing Facility in Coeur D Alene, Idaho. Registered with an NPI since 2025.

In the registry since
2025
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

210 W Lacrosse Ave
Coeur D Alene, ID 83814-2403
Phone: (208) 664-2185
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1487453494
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Soon Burnam — Secretary · (949) 540-1249
Other names Lakeside Rehabilitation And Care Center
NPI enumeratedMarch 11, 2025
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing address210 W Lacrosse Ave, Coeur D Alene, ID 83814-2403

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