KEYSTONE HOME HEALTH, LLC (NPI# 1881084721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881084721 |
| Entity Type | Organization |
| Organization Name | KEYSTONE HOME HEALTH, LLC |
| Practice Address |
1159 E Iron Eagle Dr Suite 170-d Eagle ID 83616-6871 |
| Practice Telephone | 2082093242 |
| Practice Fax Number | 2085497880 |
| Mailing Telephone | 2082093242 |
| Mailing Fax Number | 2085497880 |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |
| Authorized Official Name | TOM RICH (VICE PRESIDENT) |
| Authorized Official Telephone | 8015808334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
1159 E IRON EAGLE DR SUITE 170-D |
| City | EAGLE |
| State | ID |
| Zip Code | 83616-6871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033395876 | Jill Mitchell | Marriage & Family Therapist | 1159 E Iron Eagle Dr, Suite 170-f, Eagle, ID 83616-6871 | 2008-01-10 |
| 1063951168 | Keystone Therapy | Clinic/Center | 1159 E Iron Eagle Dr, Suite 170d, Eagle, ID 83616-6871 | 2017-02-22 |
| 1952852642 | Kami Crnich Bellomy | Nurse Practitioner | 1159 E Iron Eagle Dr, Suite 170d, Eagle, ID 83616-6871 | 2016-10-18 |
| 1851604904 | Leonard Jensen | Nurse Practitioner | 1159 E Iron Eagle Dr, Eagle, ID 83616-6871 | 2010-07-19 |
| 1922276492 | Lifestyles Chiropractic | Chiropractor | 1159 E Iron Eagle Dr, Ste. 100, Eagle, ID 83616-6871 | 2008-02-18 |
| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639714967 | Summerlin Healthcare, Inc. | Home Health | 1675 E Riverside Dr Ste 150, Eagle, ID 83616-7584 | 2019-11-11 |
| 1780078204 | All Care Health Solutions-pcs Division LLC | Home Health | 815 S Bridge Way Pl Ste 116, Eagle, ID 83616-6021 | 2015-03-23 |
| 1285930172 | Home Health Services of Idaho LLC | Home Health | 1065 E Winding Creek Dr, Suite 200, Eagle, ID 83616-7243 | 2011-02-10 |
| 1881926525 | Alpha Home Health Care LLC | Home Health | 776 E Riverside Dr Ste 200, Eagle, ID 83616-6966 | 2010-02-05 |
| 1750906954 | Rancho Bernardo Healthcare LLC | Home Health | 1675 E Riverside Dr Ste 200, Eagle, ID 83616-7473 | 2020-06-12 |
| 1467936765 | Snohomish Healthcare, Inc. | Home Health | 1675 E Riverside Dr Ste 200, Eagle, ID 83616-6237 | 2018-09-21 |
| 1396040614 | Tdmk, LLC | Home Health | 815 S Bridge Way Pl, Suite 122, Eagle, ID 83616-6006 | 2011-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511213 | Irene M Ohls | Home Health | 322 W Logan St, Caldwell, ID 83605-1710 | 2020-09-03 |
| 1881202414 | Ann Chambers | Home Health | 1320 Dry Creek Rd, Troy, ID 83871-9664 | 2020-07-20 |
| 1720602816 | Ann Home Care LLC | Home Health | 42565 Silver Valley Rd, Kingston, ID 83839-9736 | 2020-06-03 |
| 1477177921 | Whitewater Healthcare LLC | Home Health | 240 W Burnside Ave Ste B, Chubbuck, ID 83202-4703 | 2020-06-01 |
| 1003436171 | Right At Home Care | Home Health | 158 E Main St Ste 4b, Grangeville, ID 83530-2283 | 2020-04-20 |
| 1467097410 | Karissa I Niece | Home Health | 3515 W Greenbrier Dr, Boise, ID 83705-4514 | 2019-11-14 |
| 1033768262 | Cloudnine Home Care LLC | Home Health | 482 Constitution Way Ste 110, Idaho Falls, ID 83402-3568 | 2019-09-10 |
| 1164082210 | Boise Home Care Inc. Comfort Keepers | Home Health | 7646 W Lemhi St Ste 4, Boise, ID 83709-2871 | 2019-06-19 |
| 1477111276 | Perfection Home Health LLC | Home Health | 1190 Quigley St Ste A, Idaho Falls, ID 83402-1812 | 2019-06-05 |
| 1568025674 | Terrace Home Health Boise LLC | Home Health | 2929 W Navigator Dr Ste 120, Meridian, ID 83642-7553 | 2019-04-16 |
| 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.