Cloudnine Home Care LLC
Organization Active NPI Home Health Agency · Idaho Falls, ID
NPI 1033768262 · NPPES record last updated Sep 10, 2019
Key facts
- NPI
- 1033768262
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- CLOUDNINE HOME CARE LLC
- Practice address
- 482 Constitution Way Ste 110
Idaho Falls, ID 83402-3568 - Phone
- (208) 552-0399
- NPI assigned
- Sep 10, 2019
- Organization subpart
- No
Authorized official
- Name
- Misty Brook Kay
- Title
- Owner
- Phone
- (307) 248-8166
National Provider Directory
Locations
809 W Cedar St
Pocatello, ID 83201
Phone (208) 244-0941
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
482 Constitution Way Ste 110
Idaho Falls, ID 83402-3568
Mailing address
482 Constitution Way Ste 110
Idaho Falls, ID 83402-3568
Phone (208) 552-0399
Other practice location 1
809 W Cedar St
Pocatello, ID 83201-6139
Phone (208) 269-2322 ext. 20826
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A00003685 | Medicaid | ID | |
| A0003865 | Medicaid | ID |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brook@idahocloudnine.com | Direct | |
| Direct Messaging Address | brook@idahocloudnine.com | Direct |
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All providers in Idaho Falls, ID · Home Health 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 Sep 10, 2019. 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.