Active NPI
Oakstone Hospice LLC
- Community Based Hospice Care Agency
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- OAKSTONE HOSPICE LLC
- Practice address
- 2450 E 25TH St
Idaho Falls, ID 83404-7577 - Phone
- (208) 516-1550
- NPI assigned
- Apr 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Owen
- Title
- Owner
- Phone
- (208) 516-1550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2450 E 25TH St
Idaho Falls, ID 83404-7577
Mailing address
2450 E 25TH St
Idaho Falls, ID 83404-7577
Phone (208) 516-1550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250910000587 | ID | Part A Provider - Hospice | 9931602711 | Practice locations: Idaho Falls, ID |
Hospice certification: CCN 131596
- Legal name
- OAKSTONE HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Dec 26, 2025
- Last certification
- Dec 17, 2025
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Enrollment address
- 2647 E 14TH N
Idaho Falls, ID 83401-2301
Care Compare: Hospice
Medicare Care Compare- Listed as
- Oakstone Hospice LLC
- Certified
- Dec 26, 2025
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
2450 E 25th St
Idaho Falls, ID 83404
Phone (208) 516-1550
2647 E 14th N
Idaho Falls, ID 83401
Phone (208) 552-1222
Ownership & related parties
All disclosed owners & managing parties 6
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Shelby Hatch | W-2 Managing Employee | Apr 22, 2025 | 50% |
| Flint R Packer | W-2 Managing Employee | Apr 22, 2025 | 50% |
| Brent Wilson | 5% Or Greater Direct Ownership Interest | Apr 22, 2025 | 25% |
| Ryan Gibson | 5% Or Greater Direct Ownership Interest | Apr 22, 2025 | 25% |
| Corporate Director | Apr 22, 2025 | 25% | |
| Michael Hillman | 5% Or Greater Direct Ownership Interest | Apr 22, 2025 | 25% |
| Joshua Owen | 5% Or Greater Direct Ownership Interest | Apr 22, 2025 | 25% |
| Corporate Director | Apr 22, 2025 | 75% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1932259892
W-2 Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777507200000",
"number": "1063200657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 E 25TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047577",
"telephone_number": "208-516-1550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 E 25TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047577",
"telephone_number": "208-516-1550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAKSTONE HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-25",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A",
"authorized_official_last_name": "OWEN",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-516-1550"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.