SE ID CAREGIVING LLC NPI 1730897752

NPI Information

  • NPI: 1730897752
  • Provider Name: SE ID CAREGIVING LLC
  • Classification: Adult Companion - 372600000X
  • Entity Type: Organization
  • :
  • Address: 372 SKYLINE DR
    POCATELLO, ID
    ZIP 83204
  • Phone: (208) 242-7005

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NPI Details

SE ID CAREGIVING LLC is an adult companion in Pocatello, ID. The provider is an individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. SE ID CAREGIVING LLC NPI is 1730897752. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

372 SKYLINE DR
POCATELLO, ID
ZIP 83204-806
Phone: (208) 242-7005

The provider's authorized official is Montana J Martens .
The authorized official title is Owner and has the following contact phone number (208) 240-8559.

The enumeration date for this NPI number is 11/8/2022 and was last updated on 11/9/2025.

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
1372600000XAdult CompanionYes

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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