Polish Pals LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

POLISH PALS LLC

Practice address

2145 E Trail Blazer Dr
Meridian, ID 83646-5255

Phone

(615) 971-0294

NPI assigned

Feb 18, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Aiden Gardner

Title

Founder

Phone

(208) 254-5934

Specialties & licenses 1

Addresses

Other names 1

• Polish Pals Other name

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1740085182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 E TRAIL BLAZER DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465255",
            "telephone_number": "615-971-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 E TRAIL BLAZER DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465255",
            "telephone_number": "615-971-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLISH PALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "AIDEN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "208-254-5934",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polish Pals",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• In Home Supportive Care Agency in Meridian, ID
• Providers in Meridian, ID by specialty
• In Home Supportive Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.