ROSE M STILES JOHNSON NPI 1215197009

NPI Information

NPI: 1215197009
Provider Name: ROSE M STILES JOHNSON
Classification: Homemaker - 376J00000X
Entity Type: Individual
Address:
1304 1/2 S OWYHEE ST
BOISE, ID
ZIP 83705
Phone: (208) 384-0141
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Rose M Stiles Johnson is a homemaker in Boise, ID. The provider is an individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. Rose M Stiles Johnson NPI is 1215197009. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1304 1/2 S OWYHEE ST
BOISE, ID
ZIP 83705-011
Phone: (208) 384-0141

The enumeration date for this NPI number is 6/15/2008 and was last updated on 6/15/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	376J00000X	Homemaker		40517	IDAHO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	807816600	MEDICAID	IDAHO

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

NPI Synchronization or Removal

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