Active NPI
Home Health Services of Idaho LLC
Doing business as Interim HealthCare of Southwest Idaho
- Home Health Agency
- Eagle, ID
National Provider Identifier
1285930172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HOME HEALTH SERVICES OF IDAHO LLC
- Doing business as
- Interim HealthCare of Southwest Idaho
- Practice address
- 1065 E Winding Creek Dr
Suite 200
Eagle, ID 83616-7243 - Phone
- (208) 938-9681
- Fax
- (208) 515-7957
- NPI assigned
- Feb 10, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric E. Mott
- Title
- President
- Phone
- (208) 938-9681
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1065 E Winding Creek Dr
Suite 200
Eagle, ID 83616-7243
Mailing address
1065 E Winding Creek Dr
Suite 200
Eagle, ID 83616-7243
Phone (208) 938-9681
Other names 1
- Interim HealthCare of Southwest Idaho
National Provider Directory
National Provider DirectoryLocations
1065 E Winding Creek Dr
Ste 200
Eagle, ID 83616
Phone (208) 938-9681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297296000000",
"number": "1285930172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 E WINDING CREEK DR",
"address_2": "SUITE 200",
"city": "EAGLE",
"state": "ID",
"postal_code": "836167243",
"telephone_number": "208-938-9681",
"fax_number": "208-515-7957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1065 E WINDING CREEK DR",
"address_2": "SUITE 200",
"city": "EAGLE",
"state": "ID",
"postal_code": "836167243",
"telephone_number": "208-938-9681",
"fax_number": "208-515-7957"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME HEALTH SERVICES OF IDAHO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-10",
"last_updated": "2011-02-10",
"status": "A",
"authorized_official_last_name": "MOTT",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-938-9681"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Interim HealthCare of Southwest Idaho",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.