KEYSTONE HOSPICE, LLC (NPI# 1427421114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427421114 |
| Entity Type | Organization |
| Organization Name | KEYSTONE HOSPICE, LLC |
| Practice Address |
21 N Fisher Park Way Eagle ID 83616-4796 |
| Practice Telephone | 2089968181 |
| Practice Fax Number | 2085497880 |
| Mailing Telephone | 2089968181 |
| Mailing Fax Number | 2085497880 |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2019-08-08 |
| Authorized Official Name | LEONARD JENSEN (PRESIDENT) |
| Authorized Official Telephone | 2089968181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
21 N FISHER PARK WAY |
| City | EAGLE |
| State | ID |
| Zip Code | 83616-4796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376188698 | Mason Carter | Nurse Practitioner | 21 N Fisher Park Way, Eagle, ID 83616-4796 | 2019-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441963 | Bluebird Hospice. LLC | Hospice Care, Community Based | 408 S Eagle Rd Ste 205, Eagle, ID 83616-6079 | 2020-06-08 |
| 1902426521 | All Grace Home Health, Hospice, and Palliative Care LLC | Hospice Care, Community Based | 815 S Bridgeway Pl Ste 110, Eagle, ID 83616-6021 | 2020-04-23 |
| 1164054136 | Mohave Healthcare, Inc. | Hospice Care, Community Based | 1675 E Riverside Dr Ste 200, Eagle, ID 83616-7473 | 2020-02-07 |
| 1154761963 | The Trending Group, LLC | Hospice Care, Community Based | 815 S Bridge Way Pl Ste 122, Eagle, ID 83616-6022 | 2013-06-26 |
| 1144223900 | Boise Memorial Hospice LLC | Hospice Care, Community Based | 600 E State St, Suite 300, Eagle, ID 83616-6081 | 2005-05-24 |
| 1336764521 | Black Mountain Healthcare LLC | Hospice Care, Community Based | 1675 E Riverside Dr Ste 200, Eagle, ID 83616-7473 | 2020-06-12 |
| 1609408673 | Spanish Meadows Healthcare LLC | Hospice Care, Community Based | 1675 E Riverside Dr Ste 200, Eagle, ID 83616-7473 | 2020-02-07 |
| 1821427741 | Achs Hospice & Palliative Care, LLC | Hospice Care, Community Based | 815 S Bridge Way Pl, Suite 122, Eagle, ID 83616-6006 | 2013-11-01 |
| 1699007336 | Alpha Omega Hospice LLC | Hospice Care, Community Based | 776 E Riverside Dr Ste 200, Eagle, ID 83616-6966 | 2010-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473277 | Just 4 Kids Hospice LLC | Hospice Care, Community Based | 2431 Jafer Ct, Idaho Falls, ID 83404-5587 | 2020-03-23 |
| 1083156194 | Spokane Healthcare, Inc. | Hospice Care, Community Based | 927 E Polston Ave Ste 203, Post Falls, ID 83854-9390 | 2016-11-07 |
| 1710432075 | Brio Idaho Hospice LLC | Hospice Care, Community Based | 120 N Woodruff Ave, Idaho Falls, ID 83401-4335 | 2016-08-16 |
| 1699228403 | S&g Hospice of Idaho LLC | Hospice Care, Community Based | 1655 1st St, Idaho Falls, ID 83401-4305 | 2016-07-28 |
| 1871946483 | Doctor's Hospice of Idaho LLC | Hospice Care, Community Based | 1552 N Crestmont Dr Ste B, Meridian, ID 83642-2193 | 2016-07-19 |
| 1225487648 | Odyssey Healthcare Operating B, Lp | Hospice Care, Community Based | 1230 Northwood Center Ct., Ste. B, Coeur D'alene, ID 83814-4940 | 2016-06-07 |
| 1093109621 | Serenity Hospice and Palliative Care, LLC | Hospice Care, Community Based | 132 3rd St S, Nampa, ID 83651-3715 | 2015-03-20 |
| 1861896987 | Cc Home Health Choices, LLC | Hospice Care, Community Based | 506 Van Dreff St, Salmon, ID 83467-4228 | 2014-10-17 |
| 1013317064 | Complete Hospice Care of Boise LLC | Hospice Care, Community Based | 1940 S Bonito Way Ste 140, Meridian, ID 83642-2625 | 2014-08-27 |
| 1831466002 | Teton Hospice | Hospice Care, Community Based | 2470 Jafer Court, Idaho Falls, ID 83404-7575 | 2011-11-16 |
| Find all providers with the same taxonomy | ||||
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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.