NPIMap

Organization Active NPI

Healthy Care Solutions, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ammon, ID
National Provider Identifier
1629315692
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HEALTHY CARE SOLUTIONS, LLC
Practice address
3522 Briar Creek LN
Ammon, ID 83406-4728
Phone
(208) 529-1660
Fax
(208) 529-1699
NPI assigned
Jan 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Nikola Andersen
Title
Billing & Credentialing
Phone
(208) 529-1660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3522 Briar Creek LN
Ammon, ID 83406-4728

Mailing address

PO Box 3858
Idaho Falls, ID 83403-3858
Phone (208) 529-1660

Other identifiers 1

IdentifierTypeStateIssuer
A0000925MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Community mental health center certification: CCN 134609

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HEALTHY CARE SOLUTIONS
Certification status
Active
Provider type (POS)
Community mental health center
Participating since
May 15, 2014
Last certification
May 15, 2014
Ownership / control type
For profit – corporation
Facility address
3522 Briar Creek Lane
Ammon, ID 83406

National Provider Directory

National Provider Directory
Tax ID family
Healthy Care Solutions LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1629315692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3858",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834033858",
            "telephone_number": "208-529-1660",
            "fax_number": "208-529-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 BRIAR CREEK LN",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064728",
            "telephone_number": "208-529-1660",
            "fax_number": "208-529-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY CARE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "NIKOLA",
        "authorized_official_title_or_position": "BILLING & CREDENTIALING",
        "authorized_official_telephone_number": "208-529-1660"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A0000925",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ammon, ID

Sources for this page

Verify at the official NPI Registry.