Organization Active NPI

Healthy Living at Home-Twin Falls, LLC

  • Home Health Agency
  • Meridian, ID
National Provider Identifier
1932698586
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALTHY LIVING AT HOME-TWIN FALLS, LLC
Practice address
2950 E Magic View Dr Ste 150
Meridian, ID 83642-6253
Phone
(208) 949-7077
Fax
(208) 493-3019
NPI assigned
May 8, 2018
Last updated
Apr 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Authorized official

Name
Julio Quinones
Title
Ceo
Phone
(916) 260-5296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

2950 E Magic View Dr Ste 150
Meridian, ID 83642-6253

Mailing address

2950 E Magic View Dr Ste 150
Meridian, ID 83642-6253
Phone (208) 949-7077

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1932698586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 E MAGIC VIEW DR STE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426253",
            "telephone_number": "208-949-7077",
            "fax_number": "208-493-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 E MAGIC VIEW DR STE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426253",
            "telephone_number": "208-949-7077",
            "fax_number": "208-493-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING AT HOME-TWIN FALLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-260-5296"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.