Western Visiting Nurses, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HH-195 Issued in ID

Legal business name

WESTERN VISITING NURSES, INC.

Practice address

1400 Benton St
Idaho Falls, ID 83401-4253

Phone

(208) 522-3291

Fax

(208) 529-3914

NPI assigned

Jul 7, 2005

Last updated

Mar 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dextral Dale Miles, MBA

Title

Administrator

Phone

(208) 522-3291

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Western Choice Home Services, LLC Other name

Locations

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1558368233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BENTON ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014253",
            "telephone_number": "208-522-3291",
            "fax_number": "208-529-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BENTON ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014253",
            "telephone_number": "208-522-3291",
            "fax_number": "208-529-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN VISITING NURSES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "DEXTRAL",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-522-3291",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ID",
            "license": "HH-195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002568200",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002538000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Choice Home Services, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tanner West
• Willa Neuswanger West, OTR/L
• Rebecca A. Westergard, P.A.
• Shaun J Westergard, PA
• Western Center for Rehabilitation
• Benjamin Western, H.I.D.
• Laura Westover, PHARMD
• Stefanie K Westover, LCSW
• Westside Eyecare Inc
• Laramie L. Wheeler, D.O.

• Home Health Agency in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Home Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.