SE ID CAREGIVING LLC NPI 1942918750

NPI Information

  • NPI: 1942918750
  • Provider Name: SE ID CAREGIVING LLC
  • Classification: Meals - 174200000X
  • Entity Type: Organization
  • :
  • Address: 357 W CENTER ST
    POCATELLO, ID
    ZIP 83204
  • Phone: (208) 417-7627

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NPI Details

SE ID CAREGIVING LLC is a meals in Pocatello, ID. The provider is a public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home. SE ID CAREGIVING LLC NPI is 1942918750. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

357 W CENTER ST
POCATELLO, ID
ZIP 83204-236
Phone: (208) 417-7627

The provider's authorized official is K J M .
The authorized official title is Data and has the following contact phone number (385) 479-8559.

The enumeration date for this NPI number is 11/10/2022 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
1174200000XMealsYes

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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