Active NPI
Maria De Jesus Guillen
- Home Health Agency
- Caldwell, ID
National Provider Identifier
1487443461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- CFH6200
- Practice address
- 20196 Purple Sage Rd
Caldwell, ID 83607-8756 - Phone
- (208) 440-6740
- NPI assigned
- May 5, 2025
- Last updated
- May 5, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | CFH6200 | ID | Primary |
Addresses
Primary practice location
20196 Purple Sage Rd
Caldwell, ID 83607-8756
Mailing address
20196 Purple Sage Rd
Caldwell, ID 83607-8756
Phone (208) 440-6740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CFH6200 | ID | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1487443461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20196 PURPLE SAGE RD",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836078756",
"telephone_number": "208-440-6740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20196 PURPLE SAGE RD",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836078756",
"telephone_number": "208-440-6740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLEN",
"first_name": "MARIA",
"middle_name": "DE JESUS",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-05",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "ID",
"license": "CFH6200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.