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Contact Information

HEARTHSIDE HOSPICE, LLC
534 MAIN ST
SALMON, ID83467-4219
 Phone: 208-419-0896
 Fax: 208-419-0974
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for HEARTHSIDE HOSPICE, LLC

NPI Number 1740603505
LBN Legal business name HEARTHSIDE HOSPICE, LLC
Authorized official JACOB BRYAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2014
Last updated 01/30/2014 - About 12 years 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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