IDAHO IN-HOME PARTNER-I LLC NPI 1326697558

NPI Information

NPI: 1326697558
Provider Name: IDAHO IN-HOME PARTNER-I, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 13D2175264

Address:
200 MAIN ST
LEWISTON, ID
ZIP 83501
Phone: (208) 799-5275
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IDAHO IN-HOME PARTNER-I, LLC is a hospice care community based in Lewiston, ID. IDAHO IN-HOME PARTNER-I, LLC NPI is 1326697558. The provider is registered as an organization entity type.

The provider's business location address is:

200 MAIN ST
LEWISTON, ID
ZIP 83501-818
Phone: (208) 799-5275
Fax: (208) 799-5343

The provider's authorized official is Nicholas Gachassin .
The authorized official title is Executive Vice President and has the following contact phone number (337) 233-1307.

The CLIA number assigned to this NPI record is 13D2175264 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/10/2019 and was last updated on 9/28/2021.

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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