NPIMap

Organization Active NPI

Brio Idaho Home Health LLC

  • Home Health Agency
  • Idaho Falls, ID
National Provider Identifier
1285189548
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BRIO IDAHO HOME HEALTH LLC
Practice address
950 Memorial Dr
Idaho Falls, ID 83402-3411
Phone
(208) 538-2223
Fax
(208) 538-2241
NPI assigned
Aug 16, 2016
Last updated
Jul 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Corey William Boyd
Title
Owner/Administrator
Phone
(208) 881-1578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

950 Memorial Dr
Idaho Falls, ID 83402-3411

Mailing address

950 Memorial Dr
Idaho Falls, ID 83402-3411
Phone (208) 538-2223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161109001730 ID Part A Provider - Home Health Agency 0143509471 Practice locations: Idaho Falls, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285189548. Details of each certification follow.

Home health agency certification: CCN 137128

Legal name
BRIO IDAHO HOME HEALTH LLC
Doing business as
BRIO IDAHO HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 27, 2017
Last certification
Aug 27, 2017
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 12, 2016 in ID
Enrollment address
950 Memorial Dr
Idaho Falls, ID 83402-3411

Care Compare: Home health agency

Medicare Care Compare
Listed as
Brio Idaho HealthcareCCN 137128 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Aug 27, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2130644Brio Idaho Home Health LLC950 Memorial Dr, Idaho Falls, ID 83402Certificate of waiverMay 14, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Corey W Boyd Individual 5% Or Greater Direct Ownership Interest Oct 13, 2020 100%
Elizabeth Flores Individual W-2 Managing EmployeeAd; Dec 5, 2023
Kyleigh J Esqueda Individual W-2 Managing EmployeeAdministrator Aug 3, 2021
Brio Idaho Healthcare LLC Organization, Idaho Falls, ID Corporation, For-profit Operational/Managerial Control Oct 28, 2020

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 53

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

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1285189548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 MEMORIAL DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023411",
            "telephone_number": "208-538-2223",
            "fax_number": "208-538-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MEMORIAL DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023411",
            "telephone_number": "208-538-2223",
            "fax_number": "208-538-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIO IDAHO HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "208-881-1578"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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.