Teton Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

APPLIED FOR Issued in ID

Legal business name

TETON HOME HEALTH, LLC

Practice address

403 1St St
Idaho Falls, ID 83401-3928

Phone

(208) 419-0896

Fax

(208) 419-0974

NPI assigned

Jul 20, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jake Bryan, M.O.T.

Title

Manager/Owner

Phone

(435) 730-5860

Specialties & licenses 1

Addresses

Other names 1

• AVALON HOME HEALTH, LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Raymond Bryan, MOTR L

  • Occupational Therapist
  • Brigham City, UT
  • NPI 1376619080
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1003129073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 1ST ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013928",
            "telephone_number": "208-419-0896",
            "fax_number": "208-419-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 1ST ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013928",
            "telephone_number": "208-419-0896",
            "fax_number": "208-419-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETON HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "435-730-5860",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.O.T."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ID",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVALON HOME HEALTH, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teton Clinical Pharmacy, Inc.
• Teton Clinical Pharmacy, Inc.
• Teton Clinical Pharmacy, Inc.
• Teton Counseling Center Inc
• Teton Foot & Ankle Center, PC
• Teton Hospice
• Teton Hospitalist Services, PLLC
• Teton Microbiology Laboratory
• Teton MRI of Idaho Falls
• Teton Nuclear Medicine Service LLC

• Home Health Agency in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Home Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.