NPIMap

Organization Active NPI

4 Pillars of Success LLC

Doing business as Rehabilitative Health Services

  • Multi-Specialty Clinic/Center
  • Ammon, ID
National Provider Identifier
1619134277
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
4 PILLARS OF SUCCESS LLC
Doing business as
Rehabilitative Health Services
Practice address
1675 Curlew Dr
Ammon, ID 83406-4718
Phone
(208) 523-5319
NPI assigned
May 21, 2008
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Demi Echi-Aboli
Title
Billing Department Director
Phone
(208) 360-1038

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1675 Curlew Dr
Ammon, ID 83406-4718

Mailing address

PO Box 2106
Idaho Falls, ID 83403-2106
Phone (208) 523-5319

Other identifiers 1

IdentifierTypeStateIssuer
1619134277MedicaidID

Other names 1

  • REHABILITATIVE HEALTH SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110923000401 ID Part B Supplier - Clinic/Group Practice 3173794187 Receives reassigned benefits from 14 practitioners
2 other NPIs on this enrollment
Practice locations: Ammon, ID
O20240131004474 ID Part B Supplier - Clinic/Group Practice 4688027188 Receives reassigned benefits from 27 practitioners
2 other NPIs on this enrollment
Practice locations: Ammon, ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
4 Pillars of Success LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1619134277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2106",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834032106",
            "telephone_number": "208-523-5319",
            "fax_number": "208-523-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 CURLEW DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064718",
            "telephone_number": "208-523-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4 PILLARS OF SUCCESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "ECHI-ABOLI",
        "authorized_official_first_name": "DEMI",
        "authorized_official_title_or_position": "BILLING DEPARTMENT DIRECTOR",
        "authorized_official_telephone_number": "208-360-1038"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619134277",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REHABILITATIVE HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "REHABILITATIVE HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ammon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.