AAA AMERICAN HEALTHCARE LLC (NPI# 1205495371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205495371 |
| Entity Type | Organization |
| Organization Name | AAA AMERICAN HEALTHCARE LLC |
| Practice Address |
665 John Adams Pkwy Idaho Falls ID 83401-4072 |
| Mailing Address |
1327 E 17th St Idaho Falls ID 83404-6235 |
| Practice Telephone | 2085383122 |
| Practice Fax Number | 2087892705 |
| Mailing Telephone | 2085383122 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | RYAN HATCH (OWNER) |
| Authorized Official Telephone | 2085383122 |
| Is Organization Subpart | Y |
| Parent Organization Name | AAA AMERICAN HEALTHCARE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174H00000X | Health Educator | Other Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 405300000X | Prevention Professional | Other Service Providers |
| Other Name | Type Code |
|---|---|
| AmeriHealth | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912378787 | Aaa American Healthcare LLC | Nurse Practitioner | 1301 E 17th St Ste 5, Idaho Falls, ID 83404-6273 | 2015-10-19 |
| 1477174910 | Aaa American Healthcare LLC | Community/Behavioral Health | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2020-05-06 |
| 1275154718 | Aaa American Healthcare LLC | Community/Behavioral Health | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2020-05-06 |
| 1740801505 | Aaa American Healthcare LLC | Case Management | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2020-05-04 |
| 1356962112 | Aaa American Healthcare LLC | Peer Specialist | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2020-05-04 |
| 1285979757 | Aaa American Healthcare LLC | Psychologist | 1301 E 17th St, Idaho Falls, ID 83404-6273 | 2012-12-10 |
| Street Address |
665 JOHN ADAMS PKWY |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401-4072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598302739 | Edna Mae Palmer | Prevention Professional | 3798 W 500 S, Malad City, ID 83252-6105 | 2019-12-06 |
| City | IDAHO FALLS |
| Zip Code | 83401 |
Please comment or provide details below to improve the information on AAA AMERICAN HEALTHCARE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.