NPIMap

Organization Active NPI

Rocky Mountain Home Health and Hospice

  • Home Health Agency
  • Pocatello, ID
National Provider Identifier
1104243021
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
LMSW - 26140 Issued in ID
Legal business name
ROCKY MOUNTAIN HOME HEALTH AND HOSPICE
Practice address
732 Washington Ave
Pocatello, ID 83201-3748
Phone
(208) 604-0098
Fax
(208) 637-1577
NPI assigned
Mar 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Mr. Robb Redford, LMSW
Title
Owner
Phone
(208) 604-0098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X LMSW - 26140 ID Primary

Addresses

Primary practice location

732 Washington Ave
Pocatello, ID 83201-3748

Mailing address

732 Washington Ave
Pocatello, ID 83201-3748
Phone (208) 604-0098

National Provider Directory

National Provider Directory
Tax ID family
Rocky Mountain Home Health and Hospice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1104243021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 WASHINGTON AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013748",
            "telephone_number": "208-604-0098",
            "fax_number": "208-637-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 WASHINGTON AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013748",
            "telephone_number": "208-604-0098",
            "fax_number": "208-637-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN HOME HEALTH AND HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "REDFORD",
        "authorized_official_first_name": "ROBB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-604-0098",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ID",
            "license": "LMSW - 26140",
            "primary": true
        }
    ],
    "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 Mar 28, 2014; 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.