Active NPI
Home Living Services Inc
- Pharmacy
- Pocatello, ID
National Provider Identifier
1023004348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 1319LS
- Legal business name
- HOME LIVING SERVICES INC
- Practice address
- 436 E Bonneville St
Pocatello, ID 83201-6406 - Phone
- (208) 233-3466
- Fax
- (208) 234-9686
- NPI assigned
- Sep 22, 2005
- Last updated
- Aug 10, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tori Daniel Shaver
- Title
- Owner
- Phone
- (208) 232-9392
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 1319LS | ID | Primary |
| Long Term Care Pharmacy | 3336L0003X | 1319LS | ID |
Addresses
Primary practice location
436 E Bonneville St
Pocatello, ID 83201-6406
Mailing address
436 E Bonneville St
Pocatello, ID 83201-6406
Phone (208) 233-3466
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249862400000",
"number": "1023004348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 E BONNEVILLE ST",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832016406",
"telephone_number": "208-233-3466",
"fax_number": "208-234-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 E BONNEVILLE ST",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832016406",
"telephone_number": "208-233-3466",
"fax_number": "208-234-9686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME LIVING SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-22",
"last_updated": "2009-08-10",
"status": "A",
"authorized_official_last_name": "SHAVER",
"authorized_official_first_name": "TORI",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-232-9392",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "ID",
"license": "1319LS",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "ID",
"license": "1319LS",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.