COMPLETE HOSPICE CARE OF BOISE LLC (NPI# 1013317064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013317064 |
| Entity Type | Organization |
| Organization Name | COMPLETE HOSPICE CARE OF BOISE LLC |
| Practice Address |
1940 S Bonito Way Ste 140 Meridian ID 83642-2625 |
| Mailing Address |
7558 W Thunderbird Rd # 493 Peoria AZ 85381-6080 |
| Practice Telephone | 2083912724 |
| Mailing Telephone | 2083912724 |
| Mailing Fax Number | 8888584402 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | CHARLOTTE IGO (BUSINESS PARTNER) |
| Authorized Official Telephone | 2083912724 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Primary Hospice of Idaho | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COMPLETE HOSPICE CARE OF BOISE LLC | 250 W Bobwhite Ct, Ste 130, Boise, ID 83706 |
| Street Address |
1940 S BONITO WAY STE 140 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871946483 | Doctor's Hospice of Idaho LLC | Hospice Care, Community Based | 1552 N Crestmont Dr Ste B, Meridian, ID 83642-2193 | 2016-07-19 |
| 1144599671 | St. Anthony's Hospice, LLC | Hospice Care, Community Based | 2127 West 24th Avenue, Meridian, MS 39301-3916 | 2011-12-29 |
| 1902192768 | Hospice Advantage, LLC. | Hospice Care, Community Based | 1300 14th St, Suite D, Meridian, MS 39301-4317 | 2011-06-21 |
| 1689996357 | Teton Healthcare, Inc. | Hospice Care, Community Based | 63 W Willowbrook Dr, Meridian, ID 83646-1656 | 2010-02-23 |
| 1700112885 | Peoplefirst Homecare & Hospice of Utah, LLC | Hospice Care, Community Based | 3090 E Gentry Way Ste 150, Meridian, ID 83642-3597 | 2009-10-26 |
| 1174859227 | Align Hospice LLC | Hospice Care, Community Based | 2512 N Stokesberry Pl Ste 101, Meridian, ID 83646-1144 | 2009-10-25 |
| 1770658676 | Western Healthcare Services of Idaho, Inc. | Hospice Care, Community Based | 2950 E Magic View Dr., Suite 192, Meridian, ID 83642 | 2006-11-24 |
| 1942395645 | Harper's Hospice Care, Inc. | Hospice Care, Community Based | 1703 24th Ave, Meridian, MS 39301-3114 | 2006-10-04 |
| 1629177118 | Community Outreach Counseling | Hospice Care, Community Based | 1406 N Main St, Ste 103, Meridian, ID 83642-1795 | 2006-09-21 |
| 1548365919 | St Luke's Regional Medical Center | Hospice Care, Community Based | 3330 E Louise Dr Ste 400, Meridian, ID 83642-5123 | 2006-09-13 |
| Find all providers in MERIDIAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.