Community PCS PLLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COMMUNITY PCS PLLC

Practice address

1680 Elk Creek Dr
Idaho Falls, ID 83404-1225

Phone

(208) 524-0685

Fax

(208) 524-0686

NPI assigned

Apr 15, 2015

Organization subpart

No

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

Authorized official

Name

Richard K Nebeker

Title

Administrator

Phone

(208) 524-0685

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1003202136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 ELK CREEK DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834041225",
            "telephone_number": "208-524-0685",
            "fax_number": "208-524-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 ELK CREEK DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834041225",
            "telephone_number": "208-524-0685",
            "fax_number": "208-524-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PCS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "NEBEKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-524-0685"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Council of Idaho Inc
• Community Council of Idaho, Inc
• Community Council of Idaho, Inc
• Community Council of Idaho, Inc
• Community Nursing Service
• Compassion Counseling PLLC
• Compound Preferred LLC
• Connect Counseling Services
• Connections of Hope and Healing LLC
• Timothy A Connor, PSY.D.

• All providers in Idaho Falls, ID
• Community Based Hospice Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.