NPI 1215756952 · live from the CMS NPI Registry
Aegis Idaho LLC
Hospice Care, Community Based in Preston, ID. National Provider Identifier 1215756952, active.
NPI record
| NPI | 1215756952 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 30 N State St, Preston, ID 83263 |
| Practice phone | 435-723-9000 |
| Enumerated | October 9, 2024 |
| Last updated | October 9, 2024 |
| Authorized official | Gregory Mangum, Ceo |
| Other names | Aegis Home Health And 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.