A Full Life Home Health Lewiston Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

A FULL LIFE HOME HEALTH LEWISTON INC

Practice address

102 11TH St
Lewiston, ID 83501-1936

Phone

(208) 746-8881

Fax

(208) 746-5694

NPI assigned

Feb 9, 2007

Last updated

Sep 17, 2007By 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

Mrs. Hope Brackett

Title

Administrator

Phone

(208) 746-8881

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189987200000",
    "number": "1861533176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 11TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011936",
            "telephone_number": "208-746-8881",
            "fax_number": "208-746-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 11TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011936",
            "telephone_number": "208-746-8881",
            "fax_number": "208-746-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A FULL LIFE HOME HEALTH LEWISTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-09-17",
        "status": "A",
        "authorized_official_last_name": "BRACKETT",
        "authorized_official_first_name": "HOPE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-746-8881",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ID",
            "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 Sep 17, 2007; 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.