NPI 1699007336 · live from the CMS NPI Registry
Alpha Omega Hospice LLC
Hospice Care, Community Based in Eagle, ID. National Provider Identifier 1699007336, active.
NPI record
| NPI | 1699007336 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 776 E Riverside Dr Ste 200, Eagle, ID 83616 |
| Practice phone | 801-225-1080 |
| Mailing address | 250 W Center St, Orem, UT 84057 |
| Enumerated | February 5, 2010 |
| Last updated | February 5, 2010 |
| Authorized official | Ann Jenkins, Administrator |
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.