PRESCRIPTION CENTER HOME CARE, LLC (NPI# 1881697118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881697118 |
| Entity Type | Organization |
| Organization Name | PRESCRIPTION CENTER HOME CARE, LLC |
| Practice Address |
2250 Coronado St Idaho Falls ID 83404-7552 |
| Practice Telephone | 2085287979 |
| Practice Fax Number | 2085232238 |
| Mailing Telephone | 2085287979 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2020-05-13 |
| Authorized Official Name | MR. NED HILLYARD (OWNER/MANAGER) |
| Authorized Official Telephone | 2087094571 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 333600000X | Pharmacy | 1481LS | ID | Suppliers |
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
1481LS | ID | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002645900 | 05 | |
| ID | 002646000 | 05 |
| Street Address |
2250 CORONADO ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-7552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386738565 | Letitia Anne Williams | Pharmacist | 2250 Coronado St, Idaho Falls, ID 83404-7552 | 2006-10-03 |
| 1417940578 | Gary Kevin Pullen | Pharmacist | 2250 Coronado St, Idaho Falls, ID 83404-7552 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366432023 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 840 E Elva St, Idaho Falls, ID 83401-2801 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437485703 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 11880 W President Dr, Ste E, Boise, ID 83713-8960 | 2009-10-21 |
| 1780778233 | Osburn Drug Co | Durable Medical Equipment & Medical Supplies | 16376 N Highway 41, Rathdrum, ID 83858-8735 | 2006-10-02 |
| 1053392548 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 3115 N Sycamore Dr, Boise, ID 83703-4129 | 2005-11-10 |
| 1598755266 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 640 N Eisenhower St, Moscow, ID 83843-9588 | 2005-10-25 |
| 1811294051 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 261 Addison Ave W, Twin Falls, ID 83301-5049 | 2011-02-24 |
| 1902069172 | Kj Medical Inc | Durable Medical Equipment & Medical Supplies | 615 Filer Ave, Twin Falls, ID 83301-4008 | 2008-07-08 |
| 1851399158 | A Plus Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 619 S Washington St, Suite #102, Moscow, ID 83843-3063 | 2005-07-11 |
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on PRESCRIPTION CENTER HOME CARE, LLC.
| 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.