WILLARD HOUSE INC NPI 1346864857

NPI Information

  • NPI: 1346864857
  • Provider Name: WILLARD HOUSE INC
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • Address: 520 WILLARD AVE
    POCATELLO, ID
    ZIP 83201
  • Phone: (208) 339-6565

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NPI Details

WILLARD HOUSE INC is an assisted living and mental illness assisted living facility in Pocatello, ID. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. WILLARD HOUSE INC NPI is 1346864857. The provider is registered as an organization entity type.

The provider's business location address is:

520 WILLARD AVE
POCATELLO, ID
ZIP 83201-537
Phone: (208) 339-6565

The provider's authorized official is Jennifer Miles .
The authorized official title is Owner and has the following contact phone number (208) 339-6565.

The enumeration date for this NPI number is 6/1/2020 and was last updated on 6/1/2020.

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
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessYes

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: 11/21/2025

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