IndividualActive
Lizarose Hansen, CERTIFIED FAMILY HOM
NPI 1104527118 · Specialist · Chubbuck, ID
Lizarose Hansen, CERTIFIED FAMILY HOM is a Specialist provider in Chubbuck, ID (NPI 1104527118).
Provider details
- NPI number
- 1104527118
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- CERTIFIED FAMILY HOM
- Sex
- Female
- Sole proprietor
- Yes
- License
- CFH-6547 (ID)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5201 Mesquite Dr Apt 3
Chubbuck, ID 83202-5135
Phone: (208) 705-0591
Street-level locationGet directions
Mailing address
5201 Mesquite Dr Apt 3
Chubbuck, ID 83202-5135
Registry dates
- Enumerated
- 2023-03-15
- Last updated
- 2023-03-15
- Certified
- 2023-03-15
Frequently asked questions
- What is Lizarose Hansen's NPI number?
- Lizarose Hansen's National Provider Identifier (NPI) is 1104527118, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lizarose Hansen's specialty?
- Lizarose Hansen is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Lizarose Hansen located?
- Lizarose Hansen's practice location on file with NPPES is 5201 Mesquite Dr Apt 3, Chubbuck, ID 83202-5135.
- What is Lizarose Hansen's phone number?
- The practice phone number listed in the NPPES registry for Lizarose Hansen is (208) 705-0591.
- Is Lizarose Hansen's NPI active?
- Yes — Lizarose Hansen's NPI (1104527118) is active in the NPPES registry as of the last update on 2023-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.