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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 Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

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

NPI Number 1386188191
LBN Legal business name CANYON IDAHO HOME CARE & HOSPICE, LLC
Authorized official KENNETH NORRIS - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2016
Last updated 10/29/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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