NPIMap

Organization Active NPI

Heritage Home Health LLC

  • Home Health Agency
  • Pocatello, ID
National Provider Identifier
1396074027
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HERITAGE HOME HEALTH LLC
Practice address
1009 W Quinn Rd
Pocatello, ID 83202-2425
Phone
(801) 698-8927
NPI assigned
Dec 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Jonny Ryan Fisher
Title
Ceo
Phone
(208) 238-0088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1009 W Quinn Rd
Pocatello, ID 83202-2425

Mailing address

1009 W Quinn Rd
Pocatello, ID 83202-2425
Phone (208) 238-0088

Other practice location 1

560 W Sunnyside Rd Ste E
Idaho Falls, ID 83402-4521
Phone (208) 980-6342

Other practice location 2

788 Eastland Dr Ste A
Twin Falls, ID 83301-6856
Phone (208) 410-4040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091231000426 ID Part A Provider - Home Health Agency 5092856773 Practice locations: Idaho Falls, ID; Pocatello, ID; Twin Falls, ID

Home health agency certification: CCN 137117

Legal name
HERITAGE HOME HEALTH LLC
Doing business as
HERITAGE HOME HEALTH AND HOSPICE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 18, 2010
Last certification
Aug 23, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 16, 2009 in ID
Enrollment address
1009 W Quinn Rd
Pocatello, ID 83202-2425

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Heritage Home HealthCCN 137117
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 18, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Heritage Health2 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.

Locations

560 W Sunnyside Rd
Ste E
Idaho Falls, ID 83402
Phone (208) 980-6342

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Jonathan Fisher Individual 5% Or Greater Indirect Ownership InterestCeo Aug 31, 2023 21.48%
Corporate OfficerCeo/Administrator Aug 31, 2023 21.48%
Kellen B Fisher Individual 5% Or Greater Indirect Ownership Interest Aug 31, 2023 8.05%
Corporate OfficerBoard Member Aug 31, 2023
Blackline Financial LLC Organization, Chubbuck, ID LLC 5% Or Greater Direct Ownership Interest Aug 31, 2023 21.48%
Operational/Managerial Control Aug 31, 2023
Ipm LLC Organization, Pocatello, ID LLC 5% Or Greater Direct Ownership Interest Aug 31, 2023 8.05%
Troy V Bell Individual 5% Or Greater Direct Ownership Interest Aug 31, 2023 70.47%
Corporate OfficerBoard Member Aug 31, 2023 70.47%
Operational/Managerial ControlBoard Member Aug 31, 2023 70.47%
Zachary B Warnock Individual Contracted Managing EmployeeMD; Aug 31, 2023

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 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 61

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

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1396074027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 W QUINN RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832022425",
            "telephone_number": "208-238-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 W QUINN RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832022425",
            "telephone_number": "801-698-8927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 W Sunnyside Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834024521",
            "country_code": "US",
            "telephone_number": "208-980-6342",
            "fax_number": "208-656-1386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "788 Eastland Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833016856",
            "country_code": "US",
            "telephone_number": "208-410-4040",
            "fax_number": "208-410-4044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HERITAGE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JONNY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-238-0088"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.