CAITLIN M DAVIS
NPI 1679143838
Custodial Care Facility - Adult Care Home in Pocatello, ID

Active since June 30, 2021
8401 W BUCKSKIN RD, POCATELLO, ID 83201(208) 339-8308 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Caitlin M Davis NPPES

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

CAITLIN M DAVIS (NPI 1679143838) is an individual adult care home provider in Pocatello, Idaho and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1679143838
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameCAITLIN M DAVIS
Location Address8401 W BUCKSKIN RDPocatello, ID 83201-9150
Mailing Address8401 W Buckskin RdPocatello, ID 83201-9150
Sole ProprietorYes
Enumeration DateJune 30, 2021
NPPES CertifiedJune 30, 2021
NPI 1679143838 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 ListedIn Home Supportive CareTaxonomy 253Z00000X
8401 W BUCKSKIN RD, Pocatello, ID 83201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679143838, enumerated as an "individual" on June 30, 2021.

The provider is located at 8401 W BUCKSKIN RD POCATELLO, ID 83201 and the phone number is (208) 339-8308.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.