Organization · NPI-2

Agewell Connections LLC.

Case Management · Idaho Falls, ID

NPI number1003607730

StatusActive

Last updated in NPPESMay 13, 2025

Details

NPI: 1003607730
Entity type: Organization (NPI-2)
Legal business name: Agewell Connections LLC.
Organization subpart: No
Enumeration date: May 13, 2025
Certification date: May 13, 2025
Last updated: May 13, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251B00000X	Case Management	–	–	Yes
343900000X	Non-emergency Medical Transport (VAN)	–	–
347B00000X	Bus	–	–
253Z00000X	In Home Supportive Care	–	–
332BC3200X	Durable Medical Equipment & Medical Supplies, Customized Equipment	–	–

Practice location

255 B St Ste 308
Idaho Falls, ID 83402-3517

Phone 208-244-0040 · Fax 208-244-0040

Mailing address

255 B St Ste 308
Idaho Falls, ID 83402-3517

Phone 208-244-0040 · Fax 208-277-1881

Other practice locations

1820 E 17th St Ste 135
Idaho Falls, ID 83404-6403

Phone 208-244-0040 · Fax 208-277-1881

Authorized official

Robert James Johnson
Founder
2084036191

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