St. Fillan's, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

RHA-4979 Issued in ID

Legal business name

ST. FILLAN'S, LLC

Practice address

226 E 5TH St
Meridian, ID 83642-2774

Phone

(208) 871-4552

Fax

(208) 855-0866

NPI assigned

Nov 18, 2013

Last updated

Nov 18, 2013By 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

Mr. Andrew Vanderbeek

Title

Administrator/Owner

Phone

(208) 871-4552

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1750711362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 E 5TH ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422774",
            "telephone_number": "208-871-4552",
            "fax_number": "208-855-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 E 5TH ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422774",
            "telephone_number": "208-871-4552",
            "fax_number": "208-855-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. FILLAN'S, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "VANDERBEEK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "208-871-4552",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "ID",
            "license": "RHA-4979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHA-4979",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Lukes Regional Medical Center (St Lukes Cancer Institute - Meridian)
• St Lukes Regional Medical Center (St Lukes Saltzer DME Portico)
• St Lukes Regional Medical Center (St Lukes Pharmacy Locker - Meridian Winco #48/Progress Ave)
• St Lukes Regional Medical Center (St Lukes Clinic - General Surgery)
• St. Alphonsus Physician Services Inc (St. Alphonsus Medical Group Ten Mile)
• Shawn Stadlbauer, DC
• Alexis Staeb, LMSW, CCLS, CFLE
• James Porter Stagg, DO
• Audrey Jean Staley
• Stallones Mobility LLC (101 Mobility)

• 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 Nov 18, 2013; 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.