NPIMap

Organization Active NPI

SE Id Caregiving LLC

  • Community Based Hospice Care Agency
  • Pocatello, ID
National Provider Identifier
1689382913
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SE ID CAREGIVING LLC
Practice address
372 Skyline Dr
Pocatello, ID 83204-4806
Phone
(208) 242-7005
NPI assigned
Nov 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Montana J Martens
Title
Owner
Phone
(208) 240-8559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

372 Skyline Dr
Pocatello, ID 83204-4806

Mailing address

372 Skyline Dr
Pocatello, ID 83204-4806
Phone (208) 242-7005

Other names 1

  • Happy to Help Caregiving Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 75.174.107.238 Direct

National Provider Directory

National Provider Directory
Tax ID family
Happy to Help Caregiving8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1689382913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 SKYLINE DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832044806",
            "telephone_number": "208-242-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 SKYLINE DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832044806",
            "telephone_number": "208-242-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SE ID CAREGIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "MARTENS",
        "authorized_official_first_name": "MONTANA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-240-8559"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "75.174.107.238",
            "affiliation": "N",
            "endpointDescription": "Home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "372 Skyline Dr",
            "city": "Pocatello",
            "state": "ID",
            "country_code": "US",
            "postal_code": "832044806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Happy to Help Caregiving",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Happy to Help Caregiving",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.