Home Living Services Inc

LBN: Home Living Services Inc
Home Living Services Inc is an health care organization with primary practice located at 436 E Bonneville St , Pocatello ID 83201-6406. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Home Living Services Inc can be contacted via phone (208) 233-3466, or through Shaver, Tori Daniel via phone (208) 232-9392.

Contact Information

Primary practice address
436 E Bonneville St Pocatello ID 83201-6406
Fax: (208) 234-9686
Website:
Authorized official contact:
Name: Shaver, Tori Daniel

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 1319LS Idaho
Suppliers / Long Term Care Pharmacy 3336L0003X 1319LS Idaho

Profile Details

NPI number 1023004348
LBN Legal business name Home Living Services Inc
DBA Doing business as
Authorized official Shaver, Tori Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2005
Last updated Aug 10th, 2009 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023004348 NPPES
Idaho MEDICAID 002721800

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