JACKI HOGAN (NPI# 1720548944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720548944 |
| Entity Type | Individual |
| Full Name | JACKI HOGAN |
| Credential | CNA |
| Practice Address |
725 Eve Dr Idaho Falls ID 83401-3606 |
| Practice Telephone | 2083904432 |
| Mailing Telephone | 2083904432 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2020-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | 85-0913687 | ID | Nursing Service Related Providers |
| Street Address |
725 EVE DR |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401-3606 |
| 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 | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053977926 | Alisha Michelle Tew | Home Health Aide | 3031 Chaparral Dr, Idaho Falls, ID 83404-7277 | 2019-05-15 |
| 1457839789 | Perfection Home Health | Home Health Aide | 1190 Quigley St, Idaho Falls, ID 83402-1812 | 2018-07-30 |
| 1346647674 | Katie Livermont | Home Health Aide | 711 Vassar Way, Idaho Falls, ID 83402-3203 | 2014-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827403 | Mcnear Caring Solutions LLC | Home Health Aide | 6135 W Tobi Dr, Boise, ID 83703-6102 | 2020-10-08 |
| 1225666217 | Crimson Corporatiion | Home Health Aide | 3023 E Copper Point Dr Ste 201, Meridian, ID 83642-9290 | 2020-03-27 |
| 1093355927 | Rhonda Kay Pyper | Home Health Aide | 1340 Amber Dr, Mountain Home, ID 83647-1934 | 2020-01-08 |
| 1932755345 | Theresa Whitlock-wild | Home Health Aide | 2678 W Sorbonne Dr, Coeur D Alene, ID 83815-6044 | 2019-08-12 |
| 1104471044 | Yolanda Peak | Home Health Aide | 2143 W Calawah Ave, Post Falls, ID 83854-0082 | 2019-08-07 |
| 1245885300 | Donna L Casalicchio | Home Health Aide | 3258 Lotze Loop, Coeur D Alene, ID 83815-8546 | 2019-08-06 |
| 1275098543 | Donalee Taute | Home Health Aide | 5871 Highway 2, Priest River, ID 83856-8385 | 2019-01-31 |
| 1184111833 | Heather Johnson LLC | Home Health Aide | 1180 W Wishkah Ave, Post Falls, ID 83854-6472 | 2018-04-18 |
| 1609383009 | Patrick Kitambo Wangoi | Home Health Aide | 9604 W Milclay St, Boise, ID 83704-4100 | 2018-01-08 |
| 1780198374 | Deborah Lynn Carter | Home Health Aide | 5608 Van Rd, Marsing, ID 83639-8182 | 2017-11-20 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
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| 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.