Taxonomy Code 311ZA0620X(311za0620x)
Adult Care Home Facility. Providers: 4

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Adult Care Home Facility Providers

NPI Name Type Address

1063613495

Prohealth

Organization

936 E Center St

Pocatello, ID

1497107171

Monte Cache Hibbert

Individual

121 N 18th Ave

Pocatello, ID

1285229039

Prohealth

Organization

808 N 8th Ave

Pocatello, ID

1679143838

Caitlin M Davis

Individual

8401 W Buckskin Rd

Pocatello, ID

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 311ZA0620X
Specialization Adult Care Home
Display Name Adult Care Home Facility
Taxonomy Group Nursing & Custodial Care Facilities
Taxonomy Classification Custodial Care Facility
Definition 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.
Effective Date September 30, 2009
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Custodial Care Facility Codes

Custodial Care Facility

311Z00000X • providers: 884