Provider Demographics
NPI:1083997738
Name:HEALTHY CARE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:HEALTHY CARE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-529-1660
Mailing Address - Street 1:2475 S AMMON RD
Mailing Address - Street 2:#101
Mailing Address - City:AMMON
Mailing Address - State:ID
Mailing Address - Zip Code:83406-4832
Mailing Address - Country:US
Mailing Address - Phone:208-529-1660
Mailing Address - Fax:208-529-1699
Practice Address - Street 1:2475 S AMMON RD
Practice Address - Street 2:#101
Practice Address - City:AMMON
Practice Address - State:ID
Practice Address - Zip Code:83406-4832
Practice Address - Country:US
Practice Address - Phone:208-529-1660
Practice Address - Fax:208-529-1699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-20
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health