Organization Active NPI

Longshot Enterprises, Inc.

  • Home Health Agency
  • Pocatello, ID
National Provider Identifier
1396133732
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LONGSHOT ENTERPRISES, INC.
Doing business as
Home Helpers Home Health
Practice address
353 E Lander St
Pocatello, ID 83201-6314
Phone
(208) 234-2380
Fax
(208) 234-8040
NPI assigned
Jan 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Teresa Nelson
Title
Administrator
Phone
(208) 234-2380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

353 E Lander St
Pocatello, ID 83201-6314

Mailing address

353 E Lander St
Pocatello, ID 83201-6314
Phone (208) 234-2380

Other names 1

  • Home Helpers Home Health Doing business as

National Provider Directory

National Provider Directory

Locations

353 E Lander St
Pocatello, ID 83201
Phone (208) 234-2380

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1396133732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 E LANDER ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016314",
            "telephone_number": "208-234-2380",
            "fax_number": "208-234-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 E LANDER ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016314",
            "telephone_number": "208-234-2380",
            "fax_number": "208-234-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGSHOT ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-234-2380"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Helpers Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.