National Provider Identifier Database

CREST HOME HEALTH AND HOSPICE LLC
Hospice Care, Community Based


Contact Information

CREST HOME HEALTH AND HOSPICE, LLC
700 W IRONWOOD DR
STE 255
COEUR D'ALENE, ID83814-2656
Phone: 208-765-4343
Fax: 208-667-0494
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for CREST HOME HEALTH AND HOSPICE, LLC

NPI Number 1083769277
Legal business name
LBN
CREST HOME HEALTH AND HOSPICE, LLC
Authorized official DEE BANGERTER - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/25/2007
Last updated 07/07/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: HH-124

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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