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GUARDIAN HOME CARE INC NPI 1154470490


NPI Information

NPI: 1154470490
Provider Name: GUARDIAN HOME CARE, INC

Doing Business As: ENHABIT HOSPICE OF IDAHO

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
435 S WHITLEY DR
FRUITLAND, ID
ZIP 83619
Phone: (208) 452-4972
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GUARDIAN HOME CARE, INC is a hospice care community based in Fruitland, ID. GUARDIAN HOME CARE, INC NPI is 1154470490. The provider is registered as an organization entity type.
The provider Is Doing Business As Enhabit Hospice Of Idaho.

The provider's business location address is:

435 S WHITLEY DR
FRUITLAND, ID
ZIP 83619-542
Phone: (208) 452-4972
Fax: (208) 452-4974

The provider's authorized official is Crissy Buchanan Carlisle .
The authorized official title is Chief Financial Officer and has the following contact phone number (214) 239-6500.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 7/1/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000010153410OTHERIDAHOREGENCE OF IDAHO
2806662800MEDICAIDIDAHO
3H0372OTHERIDAHOBLUE CROSS

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

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