NPI 1013317064 · live from the CMS NPI Registry
Complete Hospice Care Of Boise LLC
Hospice Care, Community Based in Meridian, ID. National Provider Identifier 1013317064, active.
NPI record
| NPI | 1013317064 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 1940 S Bonito Way Ste 140, Meridian, ID 83642 |
| Practice phone | 208-391-2724 |
| Mailing address | 7558 W Thunderbird Rd # 493, Peoria, AZ 85381 |
| Enumerated | August 27, 2014 |
| Last updated | January 8, 2020 |
| Authorized official | Charlotte Igo, Business Partner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.