HOMESTEAD HOME HEALTH & HOSPICE LLC NPI 1619351442

NPI Information

NPI: 1619351442
Provider Name: HOMESTEAD HOME HEALTH & HOSPICE LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 13D2100439

Address:
407 W 1ST N
REXBURG, ID
ZIP 83440
Phone: (208) 497-7384
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HOMESTEAD HOME HEALTH & HOSPICE LLC is a hospice care community based in Rexburg, ID. HOMESTEAD HOME HEALTH & HOSPICE LLC NPI is 1619351442. The provider is registered as an organization entity type.

The provider's business location address is:

407 W 1ST N
REXBURG, ID
ZIP 83440-405
Phone: (208) 497-7384

The provider's authorized official is Samuel L Stoddard .
The authorized official title is Administrator and has the following contact phone number (208) 497-7384.

The CLIA number assigned to this NPI record is 13D2100439 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2015 and was last updated on 7/10/2015.

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	251E00000X	Home Health				No
2	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: 11/14/2023

NPI Synchronization or Removal

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