P Praxis·MD
● Active Type 2 · Organization

Prohealth

Custodial Care Facility·Pocatello, ID· NPI 1063613495 · Enumerated 2007 · 18 years on NPI
Prohealth is 1 of 22 custodial care facility organizations in Idaho.
NPI age
18 years
Enumerated 2007-05-31
Primary specialty
Custodial Care Facility
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sinclair
Cna Office Assistant
Last NPPES update
2008-04-17
Source: monthly bulk 2026-05

How this organization compares

Across 22 active custodial care facility providers in Idaho.

NPI age
18 years
↑ 14 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 27% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
936 E Center St
Pocatello, ID 832015702
📞 2082356565
Mailing address
936 E Center St
Pocatello, ID 832015702
📞 2082356565fax 2082357624

Authorized official

Pamela Ann Sinclair
Cna Office Assistant
📞 2082356565

Specialties

  • Custodial Care Facility Primary
    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...
    taxonomy 311ZA0620X
  • Skilled Nursing Facility
    A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in...
    taxonomy 3140N1450X

Identifiers

TypeValueNotes
05 (ID) 0027370
05 (ID) 0027368
05 (ID) 002737000
05 (DE) 002736800

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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