NPI 1699228403 · live from the CMS NPI Registry
S&G Hospice Of Idaho LLC
Hospice Care, Community Based in Idaho Falls, ID. National Provider Identifier 1699228403, active.
NPI record
| NPI | 1699228403 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 1655 1st St, Idaho Falls, ID 83401 |
| Practice phone | 208-552-0249 |
| Mailing address | 6255 E Partridge Cir, Ammon, ID 83401 |
| Enumerated | July 28, 2016 |
| Last updated | October 20, 2020 |
| Authorized official | Brad Stauffer, Owner/Managing Member |
| Other names | Alliance Hospice Of Idaho |
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.