ONESOURCE PCS
NPI 1194016196
In Home Supportive Care in Idaho Falls, ID

Active since April 25, 2011CLIA 13D2003306 · Waiver
1680 ELK CREEK DR STE 100, IDAHO FALLS, ID 83404(208) 524-0685(208) 524-0686 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 29, 2021, Nov 6, 2018 (2 updates tracked since 2018).

About Onesource Pcs NPPES

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

ONESOURCE PCS (NPI 1194016196) is a healthcare organization registered as an in home supportive care in Idaho Falls, Idaho and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists Richard Nebeker, Owner, as its authorized official.

NPPES Registry Identity

NPI1194016196
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameONESOURCE PDH LLC
Location Address1680 ELK CREEK DR STE 100Idaho Falls, ID 83404-1225
Mailing Address1680 Elk Creek DrIdaho Falls, ID 83404-1225 · (208) 524-0685 · Fax (208) 524-0686
Fax(208) 524-0686
Organization SubpartNo
Authorized OfficialRichard NebekerOwner · (208) 524-0685
Enumeration DateApril 25, 2011
Last NPPES UpdateJune 29, 20212 updates tracked since enumeration
NPPES CertifiedJune 29, 2021
NPI 1194016196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
1680 ELK CREEK DR STE 100, Idaho Falls, ID 83404

Other Names 1

Other NameOnesource Pcs

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2003306

Onesource Hhc LLC · Idaho Falls, ID
Active · expires Feb 4, 2028
CLIA Number13D2003306
Laboratory TypeHome Health Agency
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorLisa M. Janikowski
Laboratory Phone(208) 524-0685
Laboratory LocationOnesource Hhc LLC1680 Elk Creek Dr, Idaho Falls, ID 83404
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Onesource Pdh LLC's NPI number?

The NPI number for Onesource Pdh LLC is 1194016196. It was assigned to this organization in the NPPES registry on April 25, 2011. The provider is also known as Onesource Pcs.

Where is Onesource Pdh LLC located?

Onesource Pdh LLC is located at 1680 Elk Creek Dr Ste 100, Idaho Falls, ID 83404. The listed phone number is (208) 524-0685.

What is Onesource Pdh LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Does Onesource Pdh LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2003306) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Onesource Pdh LLC was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.