NPIMap

Organization Active NPI

Teton Healthcare, Inc.

  • Home Health Agency
  • Caldwell, ID
National Provider Identifier
1043048374
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TETON HEALTHCARE, INC.
Practice address
211 E Logan St Ste 103
Caldwell, ID 83605-4883
Phone
(208) 455-1990
NPI assigned
Jul 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amber L Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

211 E Logan St Ste 103
Caldwell, ID 83605-4883

Mailing address

211 E Logan St Ste 103
Caldwell, ID 83605-4883

Other practice location 1

139 N Whitley Dr
Fruitland, ID 83619-2430
Phone (208) 549-2104

Other practice location 2

310 E Main St
Emmett, ID 83617-3034
Phone (208) 365-1693

Other names 1

  • Horizon Home Health West Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240821000266 ID Part A Provider - Home Health Agency 4183856487 Practice locations: Caldwell, ID; Emmett, ID; Fruitland, ID

Home health agency certification: CCN 137135

Legal name
TETON HEALTHCARE INC
Doing business as
HORIZON HOME HEALTH WEST
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 24, 2018
Last certification
Aug 24, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 24, 2013 in NV
Enrollment address
211 E Logan St
Ste 103
Caldwell, ID 83605-4883
HHA Branch

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Horizon Home Health WestCCN 137135
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Aug 24, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Healthcare Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

211 E Logan St
Ste 103
Caldwell, ID 83605
Phone (208) 455-1990

139 N Whitley Dr
Fruitland, ID 83619
Phone (208) 549-2104

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Direct Ownership Interest Aug 1, 2024 100%
Brent Mills Individual Corporate OfficerTreasurer Mar 26, 2026
Brent Guerisoli Individual Corporate DirectorDirector & Sole Board Member Jul 20, 2022
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2024 100%
John J Gochnour Individual Corporate OfficerPresident Jul 11, 2024
Randy Schellhous Individual W-2 Managing EmployeeAd; Aug 1, 2024
Amber Tueller Individual Corporate OfficerSecretary Jul 11, 2024

Facilities with the same owner 141

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 141

Change-of-ownership history 1

DateEventCounterparty
Aug 1, 2024 Change of OwnershipThis provider was the buyer Signature Healthcare at HomeCCN 137135, ID, NPI 1841749462

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 52

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 52

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1043048374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E LOGAN ST STE 103",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E LOGAN ST STE 103",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054883",
            "telephone_number": "208-455-1990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 N Whitley Dr",
            "address_purpose": "LOCATION",
            "city": "Fruitland",
            "state": "ID",
            "postal_code": "836192430",
            "country_code": "US",
            "telephone_number": "208-549-2104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 E Main St",
            "address_purpose": "LOCATION",
            "city": "Emmett",
            "state": "ID",
            "postal_code": "836173034",
            "country_code": "US",
            "telephone_number": "208-365-1693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TETON HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Home Health West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Horizon Home Health West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.