National Provider Identifier Database

CANYON IDAHO HOME CARE HOSPICE LLC
Hospice Care, Community Based


Contact Information

CANYON IDAHO HOME CARE & HOSPICE, LLC
929 NW 16TH ST
FRUITLAND, ID83619-2256
Phone: 208-642-1838
Fax: 888-572-2145
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for CANYON IDAHO HOME CARE & HOSPICE, LLC

NPI Number 1386188191
Legal business name
LBN
CANYON IDAHO HOME CARE & HOSPICE, LLC
Authorized official KENNETH NORRIS - (MANAGING PARTNER)
Entity Organization
Organization subpart No
Enumeration date 12/13/2016
Last updated 10/29/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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