Provider Demographics
NPI:1851399158
Name:A PLUS HOME MEDICAL, INC.
Entity Type:Organization
Organization Name:A PLUS HOME MEDICAL, INC.
Other - Org Name:NORTHWEST RESPIRATORY AND MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:M
Authorized Official - Last Name:HESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-882-9746
Mailing Address - Street 1:619 S WASHINGTON ST
Mailing Address - Street 2:SUITE #102
Mailing Address - City:MOSCOW
Mailing Address - State:ID
Mailing Address - Zip Code:83843-3063
Mailing Address - Country:US
Mailing Address - Phone:208-882-9746
Mailing Address - Fax:208-882-9741
Practice Address - Street 1:619 S WASHINGTON ST
Practice Address - Street 2:SUITE #102
Practice Address - City:MOSCOW
Practice Address - State:ID
Practice Address - Zip Code:83843-3063
Practice Address - Country:US
Practice Address - Phone:208-882-9746
Practice Address - Fax:208-882-9741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-11
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BP3500X
IDDME127332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID000010013721OtherTHE REGENCE GROUP
ID9049628OtherWA STATE MEDICAID
ID8G296OtherBLUE CROSS OF IDAHO
ID002632800Medicaid
ID1851399158OtherNATIONAL PROVIDER IDENTIFICATION
ID9054131OtherWA STATE MEDICAID
ID=========OtherOLYMPIC HEALTH MANAGEMENT
ID=========OtherAETNA, INC
ID1851399158OtherNATIONAL PROVIDER IDENTIFICATION
ID=========OtherUNITEDHEALTH GROUP
ID000010013721OtherTHE REGENCE GROUP
ID=========OtherUNIFORM
ID002632800Medicaid
ID=========OtherUNITEDHEALTH GROUP