Organization Active NPI

Abode H4H, LLC

Doing business as Abode Home Health

  • Home Health Agency
  • Idaho Falls, ID
National Provider Identifier
1023409679
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HH-260 Issued in ID
Legal business name
ABODE H4H, LLC
Doing business as
Abode Home Health
Practice address
503 S Woodruff Ave
Idaho Falls, ID 83401-5200
Phone
(208) 552-1177
NPI assigned
Feb 17, 2015
Last updated
Jun 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Mr. David Kosloff
Title
Cfo
Phone
(206) 576-0087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HH-260 ID Primary

Addresses

Primary practice location

503 S Woodruff Ave
Idaho Falls, ID 83401-5200

Mailing address

503 S Woodruff Ave
Idaho Falls, ID 83401-5200
Phone (208) 552-1177

Other names 1

  • Abode Home Health Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

503 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 522-1177

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1023409679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015200",
            "telephone_number": "208-552-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015200",
            "telephone_number": "208-552-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABODE H4H, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "KOSLOFF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "206-576-0087",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ID",
            "license": "HH-260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abode Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.