NPI 1083769277 · live from the CMS NPI Registry
Crest Home Health And Hospice, LLC
Hospice Care, Community Based in Coeur D Alene, ID. National Provider Identifier 1083769277, active.
NPI record
| NPI | 1083769277 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 700 W Ironwood Dr, Ste 255, Coeur D Alene, ID 83814 |
| Practice phone | 208-765-4343 |
| Mailing address | 576 W 900 S, Suite 260, Woods Cross, UT 84010 |
| Enumerated | January 25, 2007 |
| Last updated | July 7, 2016 |
| Authorized official | Dee Bangerter, President |
| Other names | Crest Home Health And Hospice |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | HH-124 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.