Personal Home Care Specialists LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PERSONAL HOME CARE SPECIALISTS LLC

Practice address

1411 Falls Ave E Ste 415
Twin Falls, ID 83301-3455

Phone

(317) 473-8439

NPI assigned

Apr 28, 2020

Last updated

Apr 28, 2020By 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. Brady Taylor

Title

Co-Owner

Phone

(317) 473-8439

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1073134326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 TAMARACK LOOP",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833012519",
            "telephone_number": "317-473-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 FALLS AVE E STE 415",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013455",
            "telephone_number": "317-473-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL HOME CARE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "317-473-8439",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina M. Peer, N.P.
• Travis Pehrson, APRN-CNP
• Nicholas J Perius, PA
• Logan Perkins, DO
• Michael Jake Perrin, NP
• Haaris Pervaiz, MD
• Amanda Petersen, FNP-BC, RN
• Brendan Petersen, CRNA
• Kenneth Ryan Petersen, DPT, CSCS
• Scott Trevor Petersen, PHARMD

• In Home Supportive Care Agency in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• In Home Supportive Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.