HOMESTEAD HOME HEALTH & HOSPICE LLC (NPI# 1619351442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619351442 |
| Entity Type | Organization |
| Organization Name | HOMESTEAD HOME HEALTH & HOSPICE LLC |
| Practice Address |
407 W 1st N Rexburg ID 83440-1405 |
| Mailing Address |
360 W 3500 N Rexburg ID 83440-3215 |
| Practice Telephone | 2084977384 |
| Mailing Telephone | 2084977384 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |
| Authorized Official Name | SAMUEL L STODDARD (ADMINISTRATOR) |
| Authorized Official Telephone | 2084977384 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
407 W 1ST N |
| City | REXBURG |
| State | ID |
| Zip Code | 83440-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235768490 | Henry's Fork Surgery Center Pllc | Clinic/Center | 23 Sawtelle Ave, Rexburg, ID 83440 | 2020-04-08 |
| 1952956906 | Shane Ellis Withers | Pharmacist | 164 E. Main, Rexburg, ID 83440 | 2019-08-06 |
| 1316392285 | Emma Anderson | Speech-Language Pathologist | 36 Professional Plaza Suite 110, Rexburg, ID 83440 | 2016-04-28 |
| 1851755524 | Sandra Frickey | Speech-Language Pathologist | 1087 Summers Drive, Premier Therapy Associates, Rexburg, ID 83440 | 2016-04-08 |
| 1275997215 | Kerry Denney | Counselor | 333 Walker Drive, Rexburg, ID 83440 | 2016-04-06 |
| 1467837583 | Wal-mart Stores, Inc. | Technician/Technologist | 303 E Moody Rd, Rexburg, ID 83440 | 2015-07-30 |
| 1649692609 | Tanabell Health Services, Inc. | Skilled Nursing Facility | 410 W 1st N, Rexburg, ID 83440 | 2014-01-10 |
| 1043652571 | Creed Simon Webster | Counselor | 30 S 2nd W, Rexburg, ID 83440 | 2013-07-25 |
| 1033461660 | James Cannon Allen Dds PC | Dentist | 106 E 1st North, Rexburg, ID 83440 | 2012-10-05 |
| 1417217316 | Shelby Dee Woolstenhulme | Speech-Language Pathologist | 450 E. Main Street, Rexburg, ID 83440 | 2012-05-24 |
| Find all providers in zip 83440 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
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|---|---|---|---|---|
| 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 |
| 1306473277 | Just 4 Kids Hospice LLC | Hospice Care, Community Based | 2431 Jafer Ct, Idaho Falls, ID 83404-5587 | 2020-03-23 |
| 1164054136 | Mohave Healthcare, Inc. | Hospice Care, Community Based | 1675 E Riverside Dr Ste 200, Eagle, ID 83616-7473 | 2020-02-07 |
| 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 |
| 1427421114 | Keystone Hospice, LLC | Hospice Care, Community Based | 21 N Fisher Park Way, Eagle, ID 83616-4796 | 2015-11-04 |
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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.