NPI age
3 years
Enumerated 2022-06-23
● Active Type 2 · Organization
Subpart
Ambitions Of Idaho, Inc
Ambitions Of Idaho, Inc is 1 of 259 home health organizations in Idaho.
Primary specialty
Home Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hagel
President
Last NPPES update
2022-06-23
Source: monthly bulk 2026-05
How this organization compares
Across 259 active home health providers in Idaho.
NPI age
3 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-06Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
1019 W Sanetta St
Nampa, ID 836515047
Mailing address
1044 Northwest Blvd Ste F
Coeur D Alene, ID 838142165
Authorized official
Shane Hagel
President
📞 2086769395
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Daniel Marshall Physician Assistant NPI 1073248829
- William Short, PAC Physician Assistant NPI 1780928580
Specialties
-
Home Health PrimaryA public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of Ambitions Of Idaho, Inc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.