IndividualActive
Richard Santillan
NPI 1114819166 · Home Health Aide · Blackfoot, ID
Provider details
- NPI number
- 1114819166
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- CFH-10428 (ID)
Mailing address
495 S Meridian St
Blackfoot, ID 83221-2653
Registry dates
- Enumerated
- 2025-07-16
- Last updated
- 2025-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.