Organization · NPI-2
Benchmark Home Health
Registered Nurse · Idaho Falls, ID
NPI number1467924985
StatusActive
Last updated in NPPESDec 21, 2018
Details
- NPI
- 1467924985
- Entity type
- Organization (NPI-2)
- Legal business name
- Benchmark Home Health
- Organization subpart
- No
- Enumeration date
- Dec 21, 2018
- Last updated
- Dec 21, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | – | – | Yes |
| 163WC0400X | Registered Nurse, Case Management | – | – | |
| 163WH0200X | Registered Nurse, Home Health | – | – |
Practice location
2098 Gladys Dr.Idaho Falls, ID 83401
Phone 208-390-3870
Mailing address
2098 Gladys Dr.Idaho Falls, ID 83401
Phone 208-390-3870
Authorized official
Clint Hardy
State Administrator/Ceo
2083903870
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