Organization Active NPI

Positive Energy LLC

  • In Home Supportive Care Agency
  • Boise, ID
National Provider Identifier
1962832378
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
000000015080 Issued in ID
Legal business name
POSITIVE ENERGY LLC
Practice address
4003 W Glendale St
Boise, ID 83703-5117
Phone
(208) 866-2116
Fax
(208) 381-0350
NPI assigned
Nov 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Authorized official

Name
Mr. Anthony Robertson Zornik, CNA
Title
Owner
Phone
(208) 866-2116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 000000015080 ID Primary

Addresses

Primary practice location

4003 W Glendale St
Boise, ID 83703-5117

Mailing address

4003 W Glendale St
Boise, ID 83703-5117
Phone (208) 866-2116

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1962832378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 W GLENDALE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035117",
            "telephone_number": "208-866-2116",
            "fax_number": "208-381-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 W GLENDALE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837035117",
            "telephone_number": "208-866-2116",
            "fax_number": "208-381-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE ENERGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-21",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "ZORNIK",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ROBERTSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-866-2116",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "ID",
            "license": "000000015080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.