Organization Active NPI

Multicare Staffing Services

  • Home Health Agency
  • Meridian, ID
National Provider Identifier
1790809705
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HH-212 Issued in ID
Legal business name
MULTICARE STAFFING SERVICES
Practice address
324 S Meridian Rd
Suite 14
Meridian, ID 83642-2959
Phone
(208) 887-7719
Fax
(208) 887-7727
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Mary Wallis
Title
Vice President
Phone
(208) 884-5497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HH-212 ID Primary

Addresses

Primary practice location

324 S Meridian Rd
Suite 14
Meridian, ID 83642-2959

Mailing address

324 S Meridian Rd
Suite 14
Meridian, ID 83642-2959
Phone (208) 887-7719

National Provider Directory

National Provider Directory

Locations

324 S Meridian Rd
Ste 14
Meridian, ID 83642
Phone (208) 887-7719

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790809705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 S MERIDIAN RD",
            "address_2": "SUITE 14",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422959",
            "telephone_number": "208-887-7719",
            "fax_number": "208-887-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 S MERIDIAN RD",
            "address_2": "SUITE 14",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422959",
            "telephone_number": "208-887-7719",
            "fax_number": "208-887-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTICARE STAFFING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "208-884-5497",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ID",
            "license": "HH-212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.