Miranda Hillman
Individual provider Active NPI In Home Supportive Care Agency · Rigby, ID
NPI 1063379907 · NPPES record last updated Apr 29, 2026
Key facts
- NPI
- 1063379907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 162 N 4032 E
Rigby, ID 83442-4962 - Phone
- (208) 295-2528
- Fax
- (208) 295-2529
- NPI assigned
- Jan 5, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grays River Homecare, LLC | Home Health | Current | Accepting new patients |
| Grays River Homecare, LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Home Health Agency | 251E00000X | |||
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Yes | ||
| Chore Provider | 372500000X | |||
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
162 N 4032 E
Rigby, ID 83442-4962
Mailing address
162 N 4032 E
Rigby, ID 83442-4962
Phone (208) 295-2528
Other providers in Rigby, ID
- Dwight Hansen
- Richard T Harper
- Tressa Marial Hartmann
- Jeff Hatch
- Varian Lamar Helm
- Scott P Holm
- Calvin Neil Hurley
- Jason Neil Hurley
- Marcus C Hurst
- Idaho RX Inc
All providers in Rigby, ID · In Home Supportive Care Agency in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.