CANYON IDAHO HOME CARE & HOSPICE LLC NPI 1386188191

NPI Information

NPI: 1386188191
Provider Name: CANYON IDAHO HOME CARE & HOSPICE, LLC

Doing Business As: CANYON HOME CARE & HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
929 NW 16TH ST
FRUITLAND, ID
ZIP 83619
Phone: (208) 642-1838
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CANYON IDAHO HOME CARE & HOSPICE, LLC is a hospice care community based in Fruitland, ID. CANYON IDAHO HOME CARE & HOSPICE, LLC NPI is 1386188191. The provider is registered as an organization entity type.
The provider Is Doing Business As Canyon Home Care & Hospice.

The provider's business location address is:

929 NW 16TH ST
FRUITLAND, ID
ZIP 83619-256
Phone: (208) 642-1838
Fax: (888) 572-2145

The provider's authorized official is Kenneth E Norris .
The authorized official title is Managing Partner and has the following contact phone number (801) 712-2088.

The CLIA number assigned to this NPI record is 13D2129179 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2016 and was last updated on 1/3/2017.

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

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