NPI 1730294463 · live from the CMS NPI Registry
Hospice Alliance Of Idaho, LLC
Hospice Care, Community Based in Idaho Falls, ID. National Provider Identifier 1730294463, active.
NPI record
| NPI | 1730294463 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 1270 S Woodruff Ave, Idaho Falls, ID 83404 |
| Practice phone | 208-552-0249 |
| Mailing address | 965 S 100 W, Suite 204, Logan, UT 84321 |
| Enumerated | August 21, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Justin Larsen, Owner/Ceo |
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.