Provider Type Icon

ONESOURCE PDH LLC NPI 1194016196


NPI Information

NPI: 1194016196
Provider Name: ONESOURCE PDH LLC

Other Name: ONESOURCE PCS

Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization

CLIA Number: 13D2003306

Address:
1680 ELK CREEK DR STE 100
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 524-0685
Get Directions

ONESOURCE PDH LLC is an in home supportive care in Idaho Falls, ID. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. ONESOURCE PDH LLC NPI is 1194016196. The provider is registered as an organization entity type.
The provider Other Name Is Onesource Pcs.

The provider's business location address is:

1680 ELK CREEK DR STE 100
IDAHO FALLS, ID
ZIP 83404-225
Phone: (208) 524-0685
Fax: (208) 524-0686

The provider's authorized official is Richard Nebeker .
The authorized official title is Owner and has the following contact phone number (208) 524-0685.

The CLIA number assigned to this NPI record is 13D2003306 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2011 and was last updated on 6/29/2021.


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
1253Z00000XIn Home Supportive CareYes

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: 4/28/2024

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.