NPI 1386188191 · live from the CMS NPI Registry
Canyon Idaho Home Care & Hospice, LLC
Hospice Care, Community Based in Fruitland, ID. National Provider Identifier 1386188191, active.
NPI record
| NPI | 1386188191 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 929 Nw 16th St, Fruitland, ID 83619 |
| Practice phone | 208-642-1838 |
| Mailing address | 450 S 900 E, Ste. 100, Salt Lake City, UT 84102 |
| Enumerated | December 13, 2016 |
| Last updated | October 29, 2024 |
| Authorized official | Kenneth Norris, Managing Partner |
| Other names | Canyon Home Care & 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.