1. Home
  2. Directory
  3. Idaho
  4. Pocatello
  5. Custodial Care Facility
  6. NPI Profile

PROHEALTH
NPI 1063613495
Custodial Care Facility - Adult Care Home in Pocatello, ID

Active since May 31, 2007
936 E CENTER ST, POCATELLO, ID 83201(208) 235-6565 Get Directions Write a Review

NPPES record last updated: April 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prohealth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROHEALTH (NPI 1063613495) is a healthcare organization registered as an adult care home in Pocatello, Idaho and active in the NPI registry since May 2007. The organization lists Pamela Ann Sinclair, Cna Office Assistant, as its authorized official.

NPPES Registry Identity

NPI1063613495
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NamePROHEALTH
Location Address936 E CENTER STPocatello, ID 83201-5702
Mailing Address936 E Center StPocatello, ID 83201-5702 · (208) 235-6565 · Fax (208) 235-7624
Phone(208) 235-6565
Organization SubpartNo
Authorized OfficialPamela Ann SinclairCna Office Assistant · (208) 235-6565
Enumeration DateMay 31, 2007
Last NPPES UpdateApril 17, 2008
✔ NPI 1063613495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
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.
Also ListedSkilled Nursing Facility · Nursing Care, PediatricTaxonomy 3140N1450X
936 E CENTER ST, Pocatello, ID 83201
Open in Google Maps ↗

Other Identifiers 4

Medicaid0027370ID
Medicaid002737000ID
Medicaid002736800DE
Medicaid0027368ID

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROHEALTH HOME CARE SERVICES, INC.
Nursing Care
936 E CENTER ST
POCATELLO, ID 83201
Bannock County (208) 235-6565

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prohealth's NPI number?

The NPI number for Prohealth is 1063613495. It was assigned to this organization in the NPPES registry on May 31, 2007.

Where is Prohealth located?

Prohealth is located at 936 E Center St, Pocatello, ID 83201. The listed phone number is (208) 235-6565.

What is Prohealth's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Prohealth was last updated on April 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.