Provider Demographics
NPI:1336668672
Name:NPHALANX HOME CARE LLC
Entity Type:Organization
Organization Name:NPHALANX HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NOBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SUBEDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-932-5372
Mailing Address - Street 1:1201 FALLS AVE E STE 25
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-3464
Mailing Address - Country:US
Mailing Address - Phone:443-825-0673
Mailing Address - Fax:
Practice Address - Street 1:1201 FALLS AVE E STE 25
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-3464
Practice Address - Country:US
Practice Address - Phone:443-825-0673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health