Healthcare Provider Details

I. General information

NPI: 1851399158
Provider Name (Legal Business Name): A PLUS HOME MEDICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2005
Last Update Date: 03/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 S WASHINGTON ST SUITE #102
MOSCOW ID
83843-3063
US

IV. Provider business mailing address

619 S WASHINGTON ST SUITE #102
MOSCOW ID
83843-3063
US

V. Phone/Fax

Practice location:
  • Phone: 208-882-9746
  • Fax: 208-882-9741
Mailing address:
  • Phone: 208-882-9746
  • Fax: 208-882-9741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberDME127
License Number StateID

VIII. Authorized Official

Name: AARON M HESS
Title or Position: PRESIDENT
Credential:
Phone: 208-882-9746