Advanced Home Health Incorporated

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ADVANCED HOME HEALTH INCORPORATED

Practice address

1015 W Ironwood Dr
Suite 100
Coeur D Alene, ID 83814-4952

Phone

(208) 765-2140

Fax

(208) 665-5559

NPI assigned

Aug 8, 2006

Organization subpart

No

Name

Susan Lynn Economon, R.N.

Title

Administrator

Phone

(208) 665-5579

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912917329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 W IRONWOOD DR",
            "address_2": "SUITE 100",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144952",
            "telephone_number": "208-765-2140",
            "fax_number": "208-665-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W IRONWOOD DR",
            "address_2": "SUITE 100",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144952",
            "telephone_number": "208-765-2140",
            "fax_number": "208-665-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HOME HEALTH INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ECONOMON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-665-5579",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "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 Aug 22, 2020; 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.