Idaho Falls Id Caregiving LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

IDAHO FALLS ID CAREGIVING LLC

Practice address

1869 N Yellowstone Hwy Ste 3
Idaho Falls, ID 83401-1645

Phone

(986) 233-0410

NPI assigned

Oct 18, 2023

Last updated

Oct 18, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

CORNERSTONE CAREGIVING LLCAs reported in NPPES

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

Authorized official

Name

Michael Hillman

Title

Founder

Phone

(254) 503-5233

Specialties & licenses 1

Addresses

Other names 1

• Cornerstone Caregiving Other name

Part of

Cornerstone Caregiving LLC

Locations

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1780466383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 WASHINGTON AVE STE 1",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 N YELLOWSTONE HWY STE 3",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834011645",
            "telephone_number": "986-233-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO FALLS ID CAREGIVING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORNERSTONE CAREGIVING LLC",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "HILLMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "254-503-5233"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Caregiving",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• In Home Supportive Care Agency in Idaho Falls, ID
• Providers in Idaho Falls, 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 Oct 18, 2023; 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.