Healthcare Provider Details

I. General information

NPI: 1336668672
Provider Name (Legal Business Name): NPHALANX HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 FALLS AVE E STE 25
TWIN FALLS ID
83301-3464
US

IV. Provider business mailing address

1201 FALLS AVE E STE 25
TWIN FALLS ID
83301-3464
US

V. Phone/Fax

Practice location:
  • Phone: 443-825-0673
  • Fax:
Mailing address:
  • Phone: 443-825-0673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NOBIN SUBEDI
Title or Position: OWNER/VICE PRESIDENT
Credential:
Phone: 412-932-5372