NPI 1053664821 · live from the CMS NPI Registry
Signature Hospice LLC
Hospice Care, Community Based in Idaho Falls, ID. National Provider Identifier 1053664821, active.
NPI record
| NPI | 1053664821 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 2052 Jennie Lee Dr, Idaho Falls, ID 83404 |
| Practice phone | 208-227-0478 |
| Mailing address | 1980 Birdie Thompson Dr, Suite 200, Pocatello, ID 83201 |
| Enumerated | October 18, 2012 |
| Last updated | May 15, 2013 |
| Authorized official | Jennifer Davis, Administrator |
| Other names | Onesource Homecare & Hospice |
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.