HOSPICE ALLIANCE OF IDAHO LLC NPI 1730294463

NPI Information

NPI: 1730294463
Provider Name: HOSPICE ALLIANCE OF IDAHO, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
1270 S WOODRUFF AVE
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 552-0249
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HOSPICE ALLIANCE OF IDAHO, LLC is a hospice care community based in Idaho Falls, ID. HOSPICE ALLIANCE OF IDAHO, LLC NPI is 1730294463. The provider is registered as an organization entity type.

The provider's business location address is:

1270 S WOODRUFF AVE
IDAHO FALLS, ID
ZIP 83404-544
Phone: (208) 552-0249
Fax: (208) 552-6172

The provider's authorized official is Justin Larsen .
The authorized official title is Owner/ceo and has the following contact phone number (435) 753-0707.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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