NPIMap

Organization Active NPI

Providence Nursing Services

  • Home Health Agency
  • Meridian, ID
National Provider Identifier
1700166014
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
N-30580 Issued in ID
Legal business name
PROVIDENCE NURSING SERVICES
Practice address
1008 W Honker Dr
Meridian, ID 83642-7735
Phone
(208) 413-3312
Fax
(208) 898-0308
NPI assigned
Aug 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Mr. Jack Gifford Watkins Jr., RN.
Title
Owner-Manager
Phone
(208) 413-3312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X N-30580 ID Primary

Addresses

Primary practice location

1008 W Honker Dr
Meridian, ID 83642-7735

Mailing address

1008 W Honker Dr
Meridian, ID 83642-7735
Phone (208) 413-3312

National Provider Directory

National Provider Directory
Tax ID family
Providence Nursing Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1700166014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 W HONKER DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427735",
            "telephone_number": "208-413-3312",
            "fax_number": "208-898-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 W HONKER DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427735",
            "telephone_number": "208-413-3312",
            "fax_number": "208-898-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE NURSING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "GIFFORD",
        "authorized_official_title_or_position": "OWNER-MANAGER",
        "authorized_official_telephone_number": "208-413-3312",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RN."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ID",
            "license": "N-30580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.