Home Living Services

Organization Active NPI Durable Medical Equipment & Medical Supplies · Pocatello, ID

NPI 1467448779 · NPPES record last updated Feb 11, 2008

Key facts

NPI
1467448779
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
1319LS (ID)
Legal business name
HOME LIVING SERVICES
Practice address
436 E Bonneville
Pocatello, ID 83201
Phone
(208) 233-3466
Fax
(208) 234-9686
NPI assigned
Sep 22, 2005
Organization subpart
No

Authorized official

Name
Mr. Tori Daniel Shaver
Title
Owner
Phone
(208) 232-9392

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

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

National Provider Directory

Tax ID family
Home Living Services (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1319LS ID Yes

Addresses

Primary practice location

436 E Bonneville
Pocatello, ID 83201

Mailing address

436 E Bonneville
Pocatello, ID 83201
Phone (208) 233-3466

Other providers in Pocatello, ID

All providers in Pocatello, ID · Durable Medical Equipment & Medical Supplies in Idaho

Sources for this page

Verify at the official NPI Registry.