NPIMap

Organization Active NPI

Teton Healthcare, Inc.

Doing business as Horizon Hospice Magic Valley

  • Community Based Hospice Care Agency
  • Twin Falls, ID
National Provider Identifier
1346668282
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
TETON HEALTHCARE, INC.
Doing business as
Horizon Hospice Magic Valley
Practice address
855 N College Rd
Twin Falls, ID 83301-3484
Phone
(208) 733-2840
NPI assigned
Mar 28, 2014
Last updated
Jan 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Amber L Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X ID Primary
Community Based Hospice Care Agency 251G00000X

Addresses

Primary practice location

855 N College Rd
Twin Falls, ID 83301-3484

Mailing address

855 N College Rd
Twin Falls, ID 83301-3484
Phone (208) 733-2840

Other names 1

  • Horizon Hospice Magic Valley Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140528002236 ID Part A Provider - Hospice 4183856487 Practice locations: Twin Falls, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346668282. Details of each certification follow.

Hospice certification: CCN 131516

Legal name
TETON HEALTHCARE INC
Doing business as
HORIZON HOSPICE MAGIC VALLEY
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 21, 1994
Last certification
Jul 28, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Enrollment address
855 N College Rd
Twin Falls, ID 83301-3484

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Horizon Hospice Magic ValleyCCN 131516 · All quality measures
Ownership
For-Profit
Certified
Mar 21, 1994
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Healthcare Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

855 N College Rd
Twin Falls, ID 83301
Phone (208) 733-2840

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 24, 2013 100%
Brent Mills Individual Corporate OfficerTreasurer Apr 15, 2026
Kyle G Wong Individual Contracted Managing EmployeeMedical Director Apr 1, 2020
Brent Guerisoli Individual Corporate DirectorDirector & Sole Board Member Jul 20, 2022
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2019 100%
Craig Sanderson Individual W-2 Managing EmployeeAd; Jul 9, 2025
John J Gochnour Individual Corporate OfficerPresident/LLC Manager Jul 11, 2024
Amber Tueller Individual Corporate OfficerSecretary Jul 11, 2024

Owners & managing parties with NPI records 1

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

Facilities with the same owner 141

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

View all 141

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1346668282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 N COLLEGE RD",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013484",
            "telephone_number": "208-733-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 N COLLEGE RD",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013484",
            "telephone_number": "208-733-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TETON HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "ID",
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Hospice Magic Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.