Active NPI
Ute Hathaway
- Adult Care Home Facility
- Post Falls, ID
National Provider Identifier
1780242859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- A0000717
- Practice address
- 1421 W Poleline Ave
Post Falls, ID 83854-9828 - Phone
- (208) 457-2887
- NPI assigned
- Jun 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | A0000717 | ID | Primary |
Addresses
Primary practice location
1421 W Poleline Ave
Post Falls, ID 83854-9828
Mailing address
1421 W Poleline Ave
Post Falls, ID 83854-9828
Phone (208) 457-2887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0000717 | ID | MD | Adult Care Home Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1780242859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 W POLELINE AVE",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838549828",
"telephone_number": "208-457-2887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 W POLELINE AVE",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838549828",
"telephone_number": "208-457-2887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATHAWAY",
"first_name": "UTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "ID",
"license": "A0000717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Post Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.