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Organization

Prohealth

NPI Record: ActiveCustodial Care Facility — Adult Care Home
NPI1285229039
Pocatello, Idaho

Provider's NPPES record last updated: March 4, 2021

Overview

Entity Type
Organization
NPI
1285229039
Primary Specialty
Custodial Care Facility — Adult Care Home
Practice Location
Pocatello, Idaho
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 4:52 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Custodial Care Facility

    Adult Care Home

    Nursing & Custodial Care Facilities

    Primary

    A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

    Taxonomy code 311ZA0620X
  • Nursing Care

    Agencies

    A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

    Taxonomy code 251J00000X
  • Technician

    Attendant Care Provider

    Nursing Service Related Providers

    An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

    Taxonomy code 3747A0650X
  • Respite Care

    Respite Care Facility

    Definition to come.

    Taxonomy code 385H00000X

Practice Locations

Practice Location

808 N 8th Ave

Pocatello, Idaho 83201-5718

Phone: (208) 241-1598

Record Information

Enumeration Date
March 3, 2021
Provider's NPPES Record Last Updated
March 4, 2021
Certification Date
March 4, 2021
NPISignal NPPES Dataset
August 2026

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