Organization Active NPI

Oakstone Hospice LLC

  • Community Based Hospice Care Agency
  • Idaho Falls, ID
National Provider Identifier
1063200657
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Apr 30, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
Enrollment address
2647 E 14TH N
Idaho Falls, ID 83401-2301

Care Compare: Hospice

Medicare Care Compare
Listed as
Oakstone Hospice LLCCCN 131596
Certified
Dec 26, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Shelby Hatch Individual W-2 Managing EmployeeAd; Apr 22, 2025 50%
Flint R Packer Individual W-2 Managing EmployeeMD; Apr 22, 2025 50%
Brent Wilson Individual 5% Or Greater Direct Ownership InterestOwner Apr 22, 2025 25%
Ryan Gibson Individual 5% Or Greater Direct Ownership InterestOwner Apr 22, 2025 25%
Corporate DirectorVice President Apr 22, 2025 25%
Michael Hillman Individual 5% Or Greater Direct Ownership InterestOwner Apr 22, 2025 25%
Joshua Owen Individual 5% Or Greater Direct Ownership InterestOwner Apr 22, 2025 25%
Corporate DirectorPresident, Secretary, Treasurer 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.

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

Verify at the official NPI Registry.