NPI 1417260563 · live from the CMS NPI Registry
If Hospice Opco LLC
Hospice Care, Community Based in Idaho Falls, ID. National Provider Identifier 1417260563, active.
NPI record
| NPI | 1417260563 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 850 Energy Pl Ste 2, Idaho Falls, ID 83401 |
| Practice phone | 208-757-8444 |
| Mailing address | Po Box 1784, Idaho Falls, ID 83403 |
| Enumerated | July 19, 2010 |
| Last updated | August 14, 2026 |
| Authorized official | Justin Gregory, Cfo |
| Other names | Advanced 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.