Organization · NPI-2

Andre'S House

Community/Behavioral Health · Idaho Falls, ID

NPI number1609699693
StatusActive
Last updated in NPPESJul 14, 2026

Details

NPI
1609699693
Entity type
Organization (NPI-2)
Legal business name
Andre'S House
Organization subpart
Yes
Enumeration date
Nov 6, 2024
Certification date
Jul 14, 2026
Last updated
Jul 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
324500000X Substance Abuse Rehabilitation Facility––
343800000X Secured Medical Transport (VAN)––
343900000X Non-emergency Medical Transport (VAN)––
344600000X Taxi––
347E00000X Transportation Broker––

Other names

  • Avot (Doing Business As)

Practice location

1425 Cambridge Dr
Idaho Falls, ID 83401-4209

Phone 208-538-0610

Mailing address

1425 Cambridge Dr
Idaho Falls, ID 83401-4209

Phone 208-360-4647

Authorized official

Larry Standfield
President
2083607608

Is something wrong?

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