Idaho in-Home Health & Social Services LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

IDAHO IN-HOME HEALTH & SOCIAL SERVICES LLC

Practice address

37 W Sunset Cir
Rexburg, ID 83440-9685

Phone

(775) 253-5609

NPI assigned

Feb 20, 2013

Last updated

Feb 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Garth R Oakey

Title

Manager/Owner

Phone

(775) 253-5609

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1063752574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 W SUNSET CIR",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834409685",
            "telephone_number": "775-253-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W SUNSET CIR",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834409685",
            "telephone_number": "775-253-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO IN-HOME HEALTH & SOCIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "OAKEY",
        "authorized_official_first_name": "GARTH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "775-253-5609",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130290008",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.