PETE N BLUE - NPI 1811632789 - In Home Supportive Care in Ammon, ID

Q: What is the provider's specialty?

The provider's specialty is In Home Supportive Care with taxonomy code 253Z00000X.

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About Pete N Blue NPPES

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

PETE N BLUE (NPI 1811632789) is an individual in home supportive care provider in Ammon, Idaho and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1811632789

Entity TypeIndividualMale

Primary Taxonomy253Z00000X

Provider Legal NamePETE N BLUE

Location Address3456 E 17TH STAmmon, ID 83406-6757

Mailing Address3456 E 17th StAmmon, ID 83406-6757 · (541) 941-1543

Phone(541) 941-1543

Sole ProprietorYes

Enumeration DateMay 4, 2022

Last NPPES UpdateJune 1, 20232 updates tracked since enumeration

NPPES CertifiedMay 31, 2023

✔ NPI 1811632789 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.

3456 E 17TH ST, Ammon, ID 83406

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