Organization Active NPI

Human Service Connection, Inc.

  • Case Management Agency
  • Idaho Falls, ID
National Provider Identifier
1174653273
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
HUMAN SERVICE CONNECTION, INC.
Practice address
841 Oxford Dr
Idaho Falls, ID 83401-4204
Phone
(208) 523-2490
Fax
(208) 522-2603
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karen J. Hansen
Title
Owner
Phone
(208) 523-2490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

841 Oxford Dr
Idaho Falls, ID 83401-4204

Mailing address

841 Oxford Dr
Idaho Falls, ID 83401-4204
Phone (208) 523-2490

Other identifiers 1

IdentifierTypeStateIssuer
80403600MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
Human Service Connection Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174653273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 OXFORD DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014204",
            "telephone_number": "208-523-2490",
            "fax_number": "208-522-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 OXFORD DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014204",
            "telephone_number": "208-523-2490",
            "fax_number": "208-522-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN SERVICE CONNECTION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-523-2490"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80403600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.