Provider Type Icon

HOME LIVING SERVICES INC NPI 1023004348


NPI Information

NPI: 1023004348
Provider Name: HOME LIVING SERVICES INC
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
436 E BONNEVILLE ST
POCATELLO, ID
ZIP 83201
Phone: (208) 233-3466
Get Directions

HOME LIVING SERVICES INC is a pharmacy in Pocatello, ID. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. HOME LIVING SERVICES INC NPI is 1023004348. The provider is registered as an organization entity type.

The provider's business location address is:

436 E BONNEVILLE ST
POCATELLO, ID
ZIP 83201-406
Phone: (208) 233-3466
Fax: (208) 234-9686

The provider's authorized official is Tori Daniel Shaver .
The authorized official title is Owner and has the following contact phone number (208) 232-9392.

The enumeration date for this NPI number is 9/22/2005 and was last updated on 8/10/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care Pharmacy1319LSIDAHONo
2333600000XPharmacy1319LSIDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1002721800MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.