1 Assist Care of Treasure Valley West LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

1 ASSIST CARE OF TREASURE VALLEY WEST LLC

Practice address

418 S 9TH Ave
Caldwell, ID 83605-4153

Phone

(208) 214-3008

Fax

(888) 384-0874

NPI assigned

Nov 6, 2018

Last updated

Nov 6, 2018By 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

Andrew Rail, MPP

Title

Manager/Member

Phone

(208) 557-4215

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1659849883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 W 2000 S",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834404012",
            "telephone_number": "208-557-4215",
            "fax_number": "888-384-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 S 9TH AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054153",
            "telephone_number": "208-214-3008",
            "fax_number": "888-384-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1 ASSIST CARE OF TREASURE VALLEY WEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "RAIL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "208-557-4215",
        "authorized_official_credential": "MPP"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.