Organization Active NPI

PCS Helping Hands

  • Home Health Agency
  • Pocatello, ID
National Provider Identifier
1699864462
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HH-199 Issued in ID
Legal business name
PCS HELPING HANDS
Practice address
1308 E Center St
Pocatello, ID 83201-4702
Phone
(208) 232-2009
Fax
(208) 478-7555
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karla Jensen
Title
Administrator
Phone
(208) 232-2009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HH-199 ID Primary

Addresses

Primary practice location

1308 E Center St
Pocatello, ID 83201-4702

Mailing address

1308 E Center St
Pocatello, ID 83201-4702
Phone (208) 232-2009

Other identifiers 2

IdentifierTypeStateIssuer
8054046MedicaidID
8042224MedicaidID

National Provider Directory

National Provider Directory

Locations

1308 E Center St
Pocatello, ID 83201
Phone (208) 232-2009

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699864462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 E CENTER ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014702",
            "telephone_number": "208-232-2009",
            "fax_number": "208-478-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 E CENTER ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014702",
            "telephone_number": "208-232-2009",
            "fax_number": "208-478-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCS HELPING HANDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-232-2009"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ID",
            "license": "HH-199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8054046",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8042224",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.