Organization Active NPI

Idaho Sky Services LLC

  • In Home Supportive Care Agency
  • Bonners Ferry, ID
National Provider Identifier
1821823733
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
IDAHO SKY SERVICES LLC
Practice address
739 Curless Rd
Bonners Ferry, ID 83805-5141
Phone
(208) 408-0079
NPI assigned
Sep 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Jana MoseleyNPI 1639917297
Title
Managing Director
Phone
(208) 408-0079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

739 Curless Rd
Bonners Ferry, ID 83805-5141

Mailing address

739 Curless Rd
Bonners Ferry, ID 83805-5141
Phone (208) 408-0079

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1821823733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 CURLESS RD",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838055141",
            "telephone_number": "208-408-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 CURLESS RD",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838055141",
            "telephone_number": "208-408-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO SKY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "MOSELEY",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "208-408-0079"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonners Ferry, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.