NPIMap

Organization Active NPI

St Luke'S Regional Medical Center

  • Home Health Agency
  • Meridian, ID
National Provider Identifier
1306945985
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
03 Issued in ID
Legal business name
ST LUKE'S REGIONAL MEDICAL CENTER
Practice address
3330 E Louise Dr Ste 400
Meridian, ID 83642-5123
Phone
(208) 381-2222
NPI assigned
Sep 21, 2006
Organization subpart
Yes
Parent organization
ST LUKES HEALTH SYSTEM LTDAs reported in NPPES

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 14

Facilities with the same owner 19

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

View all 19

Affiliated clinicians 111

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

View all 111

Care Compare: Home health agency

Medicare Care Compare
Listed as
St Lukes Home Care and HospiceCCN 137028
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Jan 20, 1984
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
13D2104569St Lukes Home Care & Hospice Treasure Valley3330 E Louise Dr, Meridian, ID 83642Certificate of waiverNov 5, 2027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120531000526 ID Part A Provider - Home Health Agency 5799692604 Practice locations: Twin Falls, ID; Meridian, ID; Hailey, ID; McCall, ID

Home health agency certification: CCN 137028

Legal name
ST LUKES REGIONAL MEDICAL CENTER
Doing business as
ST. LUKE'S HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 20, 1984
Last certification
Jun 20, 2014
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Enrollment address
3330 E Louise Dr
Ste 400
Meridian, ID 83642-5123

All disclosed owners & managing parties 19

Medicare enrollment files

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

NameRoleSinceShare
Laura a McGeorge Individual Corporate DirectorBoard Member Jul 1, 2024
David Snelson Individual Corporate DirectorBoard Member Oct 1, 2024
Lisa Grow Individual Corporate Director Oct 1, 2018
Emily Baker Individual Corporate Director Nov 1, 2021
Robert Lokken Individual Corporate Director Oct 1, 2018
Andrew Scoggin Individual Corporate Director Oct 1, 2018
Richard Raimondi Individual Corporate Director Oct 1, 2018
Daniel Krahn Individual Corporate Director Oct 1, 2018
St Lukes Health System LTD Organization, Boise, ID Non-profit 5% Or Greater Direct Ownership Interest Jul 8, 2013 100%
Jared Grant Individual Corporate OfficerSystem Controller & Treasurer Jan 19, 2023
W-2 Managing EmployeeSystem Controller & Treasurer Jan 19, 2023
Jacob Reid Individual Corporate OfficerPFM Administrator Sep 1, 2023
W-2 Managing EmployeePFM Administrator Sep 1, 2023
Operational/Managerial ControlPFM Administrator Sep 1, 2023
Kathryn Fowler Individual Corporate OfficerVP Operational Finance Feb 1, 2021
W-2 Managing EmployeeVP Operational Finance Feb 1, 2021
Rosa Davila Individual Corporate Director Sep 1, 2021
William Gilbert Individual Corporate Director Nov 1, 2022
William Whitacre Individual Corporate Director Oct 1, 2018
Christopher Roth Individual Corporate OfficerPresident & Ceo Oct 1, 2015
Corporate DirectorPresident & Ceo Jan 31, 2020
W-2 Managing EmployeePresident & Ceo Oct 1, 2015
Jill Twedt Individual Corporate Director Nov 1, 2022
Thomas K Corrick Individual Corporate Director Oct 1, 2018
William Ystueta Jr Individual Corporate Director Oct 1, 2023

All facility ownership & control disclosures 3

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Lukes Rehabilitation Inpatient Acute Care UnitBoise, ID, CCN 13T006 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2014
St Lukes Clinic - Eastern Oregan Medical AssociatesBaker City, OR, CCN 383852 Rural health clinic 5% Or Greater Direct Ownership Interest Sep 1, 2016
St Lukes Clinic-Trinity Mountain MedicalMountain Home, ID, CCN 133999 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2016

National Provider Directory

National Provider Directory
Tax ID family
Richard H Lane MD50 organizations share this tax ID, including this one
Part of
St Luke'S Children'S

Other organizations with this tax ID 49

Organizations that report the same tax identification number in the National Provider Directory.

View all 49

Locations

1450 Aviation Dr
Ste B0
Hailey, ID 83333
Phone (208) 788-3434

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
Kathryn Fowler
Title
Senior VP, Cfo
Phone
(208) 381-8717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 03 ID Primary

Addresses

Primary practice location

3330 E Louise Dr Ste 400
Meridian, ID 83642-5123

Mailing address

PO Box 2777
Boise, ID 83701-2777
Phone (208) 381-2222

Other identifiers 1

IdentifierTypeStateIssuer
HH-176OtherIDSTATE OF IDAHO

Other names 1

  • ST LUKES HOME CARE Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2026.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1306945985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2777",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837012777",
            "telephone_number": "208-381-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 E LOUISE DR STE 400",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425123",
            "telephone_number": "208-381-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKE'S REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LUKES HEALTH SYSTEM LTD",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "SENIOR VP, CFO",
        "authorized_official_telephone_number": "208-381-8717"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ID",
            "license": "03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF IDAHO",
            "identifier": "HH-176",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ST LUKES HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.