Home Health Holdings, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HOME HEALTH HOLDINGS, LLC

Practice address

403 1St St
Idaho Falls, ID 83401-3928

Phone

(208) 522-1302

Fax

(208) 419-0974

NPI assigned

Apr 21, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Jacob Raymond Bryan, MOT

Title

Owner

Phone

(208) 522-1302

Specialties & licenses 1

Addresses

Other names 1

• Lifestyle Home Care Doing business as

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1144674599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 1ST ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013928",
            "telephone_number": "208-522-1302",
            "fax_number": "208-419-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 1ST ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013928",
            "telephone_number": "208-522-1302",
            "fax_number": "208-419-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-522-1302",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MOT"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifestyle Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juliette Ann Hollingshead, FNP-C
• Brent Holloway
• Charlene Anne Holloway, LMSW
• Susan M Holmes, LCPC
• Miranda Holwege, D.C.
• Home Health Holdings, LLC
• Home Health Holdings, LLC
• Home Reach
• Homecare Allies LLC
• Homedco LLC

• In Home Supportive Care Agency in Idaho Falls, ID
• Providers in Idaho 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 21, 2016; 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.