NPIMap

Organization Active NPI

Hospice Visions, LLC

  • Community Based Hospice Care Agency
  • Twin Falls, ID
National Provider Identifier
1376276030
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE VISIONS, LLC
Practice address
455 Park View Loop
Twin Falls, ID 83301-3393
Phone
(208) 735-0121
Fax
(208) 735-0661
NPI assigned
Jul 8, 2022
Last updated
Jun 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Tamala Slatter, RN, BSN
Title
Ceo/Administrator
Phone
(208) 732-5365

Specialties & licenses 1

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

Addresses

Primary practice location

455 Park View Loop
Twin Falls, ID 83301-3393

Mailing address

455 Park View Loop
Twin Falls, ID 83301-3393
Phone (208) 735-0121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220913002467 ID Part A Provider - Hospice 0547645442 Practice locations: Twin Falls, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376276030. Details of each certification follow.

Hospice certification: CCN 131524

Legal name
HOSPICE VISIONS LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 7, 1995
Last certification
Sep 27, 2013
Ownership / control type
Non-Profit - Private
Organization structure
LLCProprietary
Incorporated
Mar 28, 2018 in ID
Enrollment address
455 Park View Loop
Twin Falls, ID 83301-3393

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice VisionsCCN 131524 · All quality measures
Ownership
Non-Profit
Certified
Sep 7, 1995
Medicare certification status
ActiveFrom the Provider of Services file

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
13D1040217Hospice Visions LLC455 Park View Loop, Twin Falls, ID 83301Certificate of waiverMay 2, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Tamala D Slatter Individual 5% Or Greater Direct Ownership Interest Jul 31, 2022 100%
W-2 Managing EmployeeAdministrator Jul 31, 2022

Change-of-ownership history 1

DateEventCounterparty
Jul 31, 2022 Change of OwnershipThis provider was the buyer Hospice Visions, IncCCN 131524, ID, NPI 1720086283

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1376276030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PARK VIEW LOOP",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013393",
            "telephone_number": "208-735-0121",
            "fax_number": "208-735-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 PARK VIEW LOOP",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013393",
            "telephone_number": "208-735-0121",
            "fax_number": "208-735-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE VISIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2024-06-05",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "SLATTER",
        "authorized_official_first_name": "TAMALA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "208-732-5365",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.