NPIMap

Organization Active NPI

Ambitions of Idaho Inc

  • Home Health Agency
  • Coeur D Alene, ID
National Provider Identifier
1912433152
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMBITIONS OF IDAHO INC
Practice address
1044 Northwest Blvd Ste F
Coeur D Alene, ID 83814-2165
Phone
(208) 676-9385
NPI assigned
May 9, 2017
Organization subpart
Yes
Parent organization
AMBITIONS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Shane Hagel
Title
President
Phone
(208) 676-9385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1044 Northwest Blvd Ste F
Coeur D Alene, ID 83814-2165

Mailing address

1044 Northwest Blvd Ste F
Coeur D Alene, ID 83814-2165
Phone (208) 676-9385

National Provider Directory

National Provider Directory
Tax ID family
Ambitions of Idaho Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1494288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1912433152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 NORTHWEST BLVD STE F",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142165",
            "telephone_number": "208-676-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 NORTHWEST BLVD STE F",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142165",
            "telephone_number": "208-676-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBITIONS OF IDAHO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMBITIONS INC",
        "enumeration_date": "2017-05-09",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "HAGEL",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-676-9385"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.