P Praxis·MD
● Active Type 2 · Organization

Life, A Center For Independent Living

In Home Supportive Care·Pocatello, ID· NPI 1760813653 · Enumerated 2013 · 12 years on NPI
Life, A Center For Independent Living is 1 of 255 in home supportive care organizations in Idaho.
NPI age
12 years
Enumerated 2013-12-03
Primary specialty
In Home Supportive Care
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lefevor
Executive Director
Last NPPES update
2025-05-21
Source: monthly bulk 2026-05

How this organization compares

Across 255 active in home supportive care providers in Idaho.

NPI age
12 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 17% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-12Enumerated in NPPES
2013 2026

Where they practice

Primary practice location
640 Pershing Ave, 1
Pocatello, ID 832013702
📞 2082322747fax 2082322753
Mailing address
640 Pershing Ave, 1
Pocatello, ID 832013702
📞 2082322747fax 2082322753

Authorized official

Michael Lefevor
Executive Director
📞 2082322747

Specialties

  • In Home Supportive Care Primary
    An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of...
    ID license #M8054374 taxonomy 253Z00000X
  • Case Management
    An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management...
    taxonomy 251B00000X
  • Community/Behavioral Health
    A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
    taxonomy 251S00000X

Identifiers

TypeValueNotes
05 (ID) M8054374

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • LIFE, Inc.
    Type code 3 recorded 2013-12-03

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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