Prohealth Home Care Services, Inc.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

PROHEALTH HOME CARE SERVICES, INC.

Practice address

936 E Center St
Pocatello, ID 83201-5702

Phone

(208) 235-6565

Fax

(208) 235-7624

NPI assigned

Jan 17, 2017

Organization subpart

No

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

Authorized official

Name

Wanda Jean Andrews, RN

Title

Director of Nursing

Phone

(208) 235-6565

Specialties & licenses 1

Addresses

Tax ID family

Prohealth2 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.

• Prohealth

  • Adult Care Home Facility
  • Pocatello, ID
  • NPI 1063613495
  NPD tax ID

Locations

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1285170050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 E CENTER ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015702",
            "telephone_number": "208-235-6565",
            "fax_number": "208-235-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 E CENTER ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015702",
            "telephone_number": "208-235-6565",
            "fax_number": "208-235-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH HOME CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "208-235-6565",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Steven D Proctor, LCSW
• Prohealth
• Prohealth
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• Psychiatry-Ect, PLLC
• Psychological Assessment Specialists
• Psychological Assessment Specialists
• Brooke Pugmire, PHARMD

• Nursing Care Agency in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Nursing Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.