Imagine That, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IMAGINE THAT, LLC

Practice address

1254 Bayview Rd
Athol, ID 83801-9659

Phone

(208) 255-9318

NPI assigned

Feb 8, 2010

Last updated

Feb 8, 2010By 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. Jeromy M. Scheel, BBA

Title

Owner

Phone

(208) 255-9318

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1780916262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 BAYVIEW RD",
            "city": "ATHOL",
            "state": "ID",
            "postal_code": "838019659",
            "telephone_number": "208-255-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 BAYVIEW RD",
            "city": "ATHOL",
            "state": "ID",
            "postal_code": "838019659",
            "telephone_number": "208-255-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE THAT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "SCHEEL",
        "authorized_official_first_name": "JEROMY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-255-9318",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.