Branch Management LLC

Organization Active NPI In Home Supportive Care Agency · Pocatello, ID

NPI 1619645868 · NPPES record last updated Sep 2, 2021

Key facts

NPI
1619645868
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
BRANCH MANAGEMENT LLC
Practice address
1177 Call Place
Suite B
Pocatello, ID 83201
Phone
(904) 566-0126
Fax
(208) 417-0244
NPI assigned
Sep 2, 2021
Organization subpart
No

Authorized official

Name
Daniel Appah
Title
Administrator
Phone
(904) 566-0126

Corporate family (same tax ID) 1

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

National Provider Directory

Tax ID family
Branch Management LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

1177 Call Place
Suite B
Pocatello, ID 83201

Mailing address

1177 Call Place
Suite B
Pocatello, ID 83201
Phone (904) 566-0126

Other identifiers

IdentifierTypeStateIssuer
A0003762MedicaidID

Electronic endpoints

TypeEndpointUseAffiliation
Other URL https://outlook.office.com/mail/inbox/id/AAQkADU5MjliNzg4LWYzOWMtNGUxYi05MjNiLTA5OWJiNTA5ODg2MgAQAEX Health Information Exchange (HIE)

Other providers in Pocatello, ID

All providers in Pocatello, ID · In Home Supportive Care Agency in Idaho

Sources for this page

Verify at the official NPI Registry.