Agewell Connections LLC.
Organization Active NPI Case Management Agency · Idaho Falls, ID
NPI 1003607730 · NPPES record last updated May 13, 2025
Key facts
- NPI
- 1003607730
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- AGEWELL CONNECTIONS LLC.
- Practice address
- 255 B St Ste 308
Idaho Falls, ID 83402-3517 - Phone
- (208) 244-0040
- Fax
- (208) 244-0040
- NPI assigned
- May 13, 2025
- Organization subpart
- No
Authorized official
- Name
- Robert James Johnson
- Title
- Founder
- Phone
- (208) 403-6191
National Provider Directory
Locations
255 B St
Ste 308
Idaho Falls, ID 83402
Phone (208) 244-0040
1820 E 17th St
Ste 135
Idaho Falls, ID 83404
Phone (208) 244-0040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Customized Equipment (DME) | 332BC3200X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Bus | 347B00000X |
Addresses
Primary practice location
255 B St Ste 308
Idaho Falls, ID 83402-3517
Mailing address
255 B St Ste 308
Idaho Falls, ID 83402-3517
Phone (208) 244-0040
Other practice location 1
1820 E 17th St Ste 135
Idaho Falls, ID 83404-6403
Phone (208) 244-0040
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All providers in Idaho Falls, ID · Case Management Agency in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.