Active NPI
Benchmark Home Health
- Registered Nurse
- Idaho Falls, ID
National Provider Identifier
1467924985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- Legal business name
- BENCHMARK HOME HEALTH
- Practice address
- 2098 Gladys Dr.
Idaho Falls, ID 83401 - Phone
- (208) 390-3870
- NPI assigned
- Dec 21, 2018
- 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
- Clint Hardy
- Title
- State Administrator/Ceo
- Phone
- (208) 390-3870
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | Primary | ||
| Case Management Registered Nurse | 163WC0400X | |||
| Home Health Registered Nurse | 163WH0200X |
Addresses
Primary practice location
2098 Gladys Dr.
Idaho Falls, ID 83401
Mailing address
2098 Gladys Dr.
Idaho Falls, ID 83401
Phone (208) 390-3870
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545350400000",
"number": "1467924985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2098 GLADYS DR.",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "83401",
"telephone_number": "208-390-3870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2098 GLADYS DR.",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "83401",
"telephone_number": "208-390-3870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENCHMARK HOME HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-21",
"last_updated": "2018-12-21",
"status": "A",
"authorized_official_last_name": "HARDY",
"authorized_official_first_name": "CLINT",
"authorized_official_title_or_position": "STATE ADMINISTRATOR/CEO",
"authorized_official_telephone_number": "208-390-3870"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": true
},
{
"code": "163WC0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.