Healthy Living at Home-Pocatello, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEALTHY LIVING AT HOME-POCATELLO, LLC

Practice address

2950 E Magic View Dr Ste 150
Meridian, ID 83642-6253

Phone

(208) 949-7077

NPI assigned

May 8, 2018

Last updated

May 8, 2018By 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

Sarah Rushton

Title

Regional Vice President

Phone

(208) 999-4110

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1104315753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 E MAGIC VIEW DR STE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426253",
            "telephone_number": "208-949-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 E MAGIC VIEW DR STE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426253",
            "telephone_number": "208-949-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING AT HOME-POCATELLO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "RUSHTON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "REGIONAL VICE PRESIDENT",
        "authorized_official_telephone_number": "208-999-4110"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.