1 A Advanced International Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

1 A ADVANCED INTERNATIONAL HOME CARE LLC

Doing business as

Advanced International Home Care

Practice address

2645 N Cole Rd Ste F
Boise, ID 83704-5970

Phone

(208) 322-3616

Fax

(208) 322-6102

NPI assigned

Feb 7, 2018

Last updated

Feb 7, 2018By 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

Petar Amador

Title

Owner

Phone

(208) 888-6232

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced International Home Care Doing business as

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517961600000",
    "number": "1902305758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 N COLE RD STE F",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045970",
            "telephone_number": "208-322-3616",
            "fax_number": "208-322-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 N COLE RD STE F",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045970",
            "telephone_number": "208-322-3616",
            "fax_number": "208-322-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1 A ADVANCED INTERNATIONAL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A",
        "authorized_official_last_name": "AMADOR",
        "authorized_official_first_name": "PETAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-888-6232"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A0003294",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced International Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Boise, ID
• Providers in Boise, 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 Feb 7, 2018; 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.