Doctor'S Hospice Of Idaho Llc

LBN: Doctor'S Hospice Of Idaho Llc
Doctor'S Hospice Of Idaho Llc is an health care organization with primary practice located at 1552 N Crestmont Dr Ste B , Meridian ID 83642-2191. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Doctor'S Hospice Of Idaho Llc can be contacted via phone (208) 985-2260, or through Freston, Cody Matthew via phone (208) 985-2260.

Contact Information

Primary practice address
1552 N Crestmont Dr Ste B Meridian ID 83642-2191
Phone: (208) 985-2260
Fax: (208) 985-2261
Website:
Map and Directions
Authorized official contact:
Name: Freston, Cody Matthew MBA
Phone: (208) 985-2260

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X

Profile Details

NPI number 1871946483
LBN Legal business name Doctor'S Hospice Of Idaho Llc
DBA Doing business as
Authorized official Freston, Cody Matthew MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2016
Last updated Dec 13th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871946483 NPPES
Idaho MEDICAID 1871946483

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