Organization Active NPI

Home Living Services Inc

  • Pharmacy
  • Pocatello, ID
National Provider Identifier
1023004348
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
1319LS Issued in ID
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.