Organization Active NPI

Grays River Homecare, LLC

  • In Home Supportive Care Agency
  • Rigby, ID
National Provider Identifier
1386598134
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GRAYS RIVER HOMECARE, LLC
Practice address
162 N 4032 E
Rigby, ID 83442-4962
Phone
(208) 295-2528
Fax
(208) 295-2529
NPI assigned
Feb 26, 2026
Last updated
Apr 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Miranda HillmanNPI 1063379907
Title
Owner
Phone
(208) 295-2528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Intellectual Disabilities Intermediate Care Facility 315P00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

162 N 4032 E
Rigby, ID 83442-4962

Mailing address

162 N 4032 E
Rigby, ID 83442-4962
Phone (208) 295-2528

National Provider Directory

National Provider Directory
Tax ID family
Grays River Homecare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1772064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1386598134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 N 4032 E",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834424962",
            "telephone_number": "208-295-2528",
            "fax_number": "208-295-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 N 4032 E",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834424962",
            "telephone_number": "208-295-2528",
            "fax_number": "208-295-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYS RIVER HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "HILLMAN",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-295-2528"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rigby, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.