3 And 1, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

3 AND 1, LLC

Practice address

1900 Northwest Blvd Ste 110
Coeur D Alene, ID 83814-2788

Phone

(208) 758-8090

Fax

(208) 214-3222

NPI assigned

Apr 4, 2019

Organization subpart

No

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

Authorized official

Name

Matt Zastrow

Title

Part Owner

Phone

(208) 758-8090

Specialties & licenses 1

Addresses

Other names 1

• FirstLight Home Care Doing business as

Locations

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1871055152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 NORTHWEST BLVD STE 110",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142788",
            "telephone_number": "208-758-8090",
            "fax_number": "208-214-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 NORTHWEST BLVD STE 110",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142788",
            "telephone_number": "208-758-8090",
            "fax_number": "208-214-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3 AND 1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "ZASTROW",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "208-758-8090"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstLight Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FirstLight Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Coeur D Alene, ID
• Providers in Coeur D Alene, 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 May 26, 2022; 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.