Richard Saul Santillan

Key facts

NPI

1114819166

Entity type

Individual (NPI type 1)

Primary specialty

Home Health Aide 374U00000X

License

CFH-10428 (ID)

Practice address

495 S Meridian St
Blackfoot, ID 83221-2653

Phone

(208) 680-4665

NPI assigned

Jul 16, 2025

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 16, 2025.

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1114819166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 S MERIDIAN ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832212653",
            "telephone_number": "208-680-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 S MERIDIAN ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832212653",
            "telephone_number": "208-680-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTILLAN",
        "first_name": "RICHARD",
        "middle_name": "SAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "ID",
            "license": "CFH-10428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Blackfoot, ID · Home Health Aide in Idaho