Organization Active NPI

Tdandc LLC

  • Home Health Agency
  • Boise, ID
National Provider Identifier
1194159764
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TDANDC LLC
Practice address
4205 W Emerald St
Boise, ID 83706-2036
Phone
(208) 342-3013
Fax
(208) 344-3502
NPI assigned
Aug 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
Mr. Travis KrawlNPI 1366864209
Title
Owner
Phone
(208) 398-8250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4205 W Emerald St
Boise, ID 83706-2036

Mailing address

815 S Bridge Way PL Ste 116
Eagle, ID 83616-6021
Phone (208) 938-8250

Other identifiers 1

IdentifierTypeStateIssuer
M8080968MedicaidID

Other names 1

  • A Caring Hand Home Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A Caring Hand Home Care2 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.

Locations

4205 W Emerald St
Boise, ID 83706
Phone (208) 342-3013

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1194159764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S BRIDGE WAY PL STE 116",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166021",
            "telephone_number": "208-938-8250",
            "fax_number": "208-938-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062036",
            "telephone_number": "208-342-3013",
            "fax_number": "208-344-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDANDC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "KRAWL",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-398-8250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M8080968",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Caring Hand Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.