TDX5 LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

TDX5 LLC

Doing business as

White Oak Hospice

Practice address

124 N Seneca Springs Way Ste B
Star, ID 83669-6037

Phone

(208) 629-1037

Fax

(208) 629-1513

NPI assigned

Feb 16, 2023

Last updated

Aug 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Trudy Hagler

Title

RN/DCS/Ceo

Phone

(208) 606-2745

Specialties & licenses 1

Addresses

Other names 1

• White Oak Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215635511. Details of each certification follow.

• CCN 131588 Hospice · Active · Details

Hospice certification: CCN 131588

Legal name

TDX5 LLC

Doing business as

WHITE OAK HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 9, 2023

Last certification

Jul 27, 2023

Organization structure

LLCProprietary

Incorporated

Dec 5, 2022 in ID

Enrollment address

124 N Seneca Springs Way
Ste B
Star, ID 83669-6037

Listed as

White Oak HospiceCCN 131588 · All quality measures

Certified

Aug 9, 2023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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

Affiliated clinicians 2

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

• Jessica A Evert, MD

  • Family Medicine Physician
  • Boise, ID
  • NPI 1003015124

  Hospice

  Care Compare affiliation
• Aurelia Nelson, MD

  • General Practice Physician
  • Boise, ID
  • NPI 1376761437

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1215635511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N SENECA SPRINGS WAY STE B",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836696037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N SENECA SPRINGS WAY STE B",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836696037",
            "telephone_number": "208-629-1037",
            "fax_number": "208-629-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDX5 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "HAGLER",
        "authorized_official_first_name": "TRUDY",
        "authorized_official_title_or_position": "RN/DCS/CEO",
        "authorized_official_telephone_number": "208-606-2745",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Oak Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "White Oak Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Star, ID
• Providers in Star, 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 Aug 21, 2025; 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.

Verify at the official NPI Registry.