NPI 1275224966 · live from the CMS NPI Registry
Eagle Healthcare LLC
Hospice Care, Community Based in Eagle, ID. National Provider Identifier 1275224966, active.
NPI record
| NPI | 1275224966 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 1675 E Riverside Dr Ste 200, Eagle, ID 83616 |
| Practice phone | 208-401-1369 |
| Enumerated | May 15, 2023 |
| Last updated | May 15, 2023 |
| Authorized official | Lee Johnson, Treasurer |
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.