MONTE CACHE HIBBERT (NPI# 1497107171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497107171 |
| Entity Type | Individual |
| Full Name | MONTE CACHE HIBBERT |
| Practice Address |
121 N 18th Ave Pocatello ID 83201-3345 |
| Practice Telephone | 2082347383 |
| Mailing Telephone | 2082347383 |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
CFH-4005-SD | ID | Nursing & Custodial Care Facilities |
| Street Address |
121 N 18TH AVE |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-3345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316411671 | Doina Gorla | Custodial Care Facility | 1201 W Flamingo Ave, Nampa, ID 83651-1829 | 2019-01-18 |
| 1497090534 | Ledeen Snyder | Custodial Care Facility | 556 Chute Canyon Way, Bonners Ferry, ID 83805-5219 | 2012-11-30 |
| 1376701367 | Vicki J Larson | Custodial Care Facility | 2914 E Powerline Rd, Nampa, ID 83687-4920 | 2008-05-28 |
| 1528184595 | Brenda S. Keene | Custodial Care Facility | 1227 W Emmy Ct, Kuna, ID 83634-3028 | 2007-03-22 |
| 1457419418 | Anita Rose Haight | Custodial Care Facility | 2564 Elizabeth Blvd, Twin Falls, ID 83301-7508 | 2006-12-04 |
| 1780242859 | Ute Hathaway | Custodial Care Facility | 1421 W Poleline Ave, Post Falls, ID 83854-9828 | 2019-06-03 |
| 1700313731 | Ssa Vii, LLC | Custodial Care Facility | 13400 N Meyer Rd, Rathdrum, ID 83858-7099 | 2017-05-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.