Crest Home Health and Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

HH-124 Issued in ID

Legal business name

CREST HOME HEALTH AND HOSPICE, LLC

Practice address

700 W Ironwood Dr
Ste 255
Coeur D Alene, ID 83814-2656

Phone

(208) 765-4343

Fax

(208) 667-0494

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Dee R Bangerter

Title

President

Phone

(801) 397-4000

Specialties & licenses 1

Addresses

Other names 1

• Crest Home Health and Hospice Doing business as

Locations

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1083769277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 W 900 S",
            "address_2": "SUITE 260",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840108194",
            "telephone_number": "801-397-4100",
            "fax_number": "801-397-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DR",
            "address_2": "STE 255",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142656",
            "telephone_number": "208-765-4343",
            "fax_number": "208-667-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST HOME HEALTH AND HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "BANGERTER",
        "authorized_official_first_name": "DEE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-397-4000"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "ID",
            "license": "HH-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crest Home Health and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erika Crawford, DO
• Katherine M Crawford, LCSW
• Desiree Creekmore
• Crescent Moon Counseling, LLC
• Tyler Joel Cress, PHARMD
• Crest Home Health and Hospice, LLC
• Crest Home Health and Hospice, LLC
• David Leroy Crettol, L.M.T.
• Richard V Cripe, PHYD
• Jonathan David Crisman, HIS

• Community Based Hospice Care Agency in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Community Based Hospice Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.