Organization Active NPI

If Hospice Opco LLC

Doing business as Advanced Hospice

  • Community Based Hospice Care Agency
  • Idaho Falls, ID
National Provider Identifier
1417260563
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
IF HOSPICE OPCO LLC
Doing business as
Advanced Hospice
Solace Healthcare
Practice address
850 Energy PL Ste 2
Idaho Falls, ID 83401-1033
Phone
(208) 757-8444
Fax
(877) 709-6444
NPI assigned
Jul 19, 2010
Last updated
Aug 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Mr. Justin Gregory
Title
Cfo
Phone
(208) 346-7807

Specialties & licenses 1

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

Addresses

Primary practice location

850 Energy PL Ste 2
Idaho Falls, ID 83401-1033

Mailing address

PO Box 1784
Idaho Falls, ID 83403-1784
Phone (208) 757-8444

Other names 2

  • Advanced Hospice Doing business as
  • Solace Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220401000033 ID Part A Provider - Hospice 5092101998 Practice locations: Idaho Falls, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417260563. Details of each certification follow.

Hospice certification: CCN 131566

Legal name
IF HOSPICE OPCO LLC
Doing business as
SOLACE HEALTHCARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 20, 2011
Last certification
Feb 17, 2022
Ownership / control type
Proprietary - Other
Organization structure
PartnershipProprietary
Enrollment address
850 Energy PL
Ste 2
Idaho Falls, ID 83401-1502

Care Compare: Hospice

Medicare Care Compare
Listed as
Solace HealthcareCCN 131566 · All quality measures
Ownership
For-Profit
Certified
Apr 20, 2011
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
13D2015861Solace Healthcare850 Energy Dr Ste 2, Idaho Falls, ID 83401Certificate of waiverNov 7, 2026

National Provider Directory

National Provider Directory

Locations

211 S Woodruff Ave
Ste B9
Idaho Falls, ID 83401
Phone (208) 757-8444

850 Energy Pl
Ste 2
Idaho Falls, ID 83401
Phone (208) 757-8444

197 Stockham Blvd
#2
Rigby, ID 83442
Phone (208) 757-8444

197 Stockham Blvd
Ste 2B
Rigby, ID 83442
Phone (208) 757-8444

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
Cheryl Abel Individual Operational/Managerial ControlDirector of Operations Feb 1, 2022 100%
Curis Partners LLC Organization, Portland, OR LLC Operational/Managerial Control Feb 1, 2022 75%
Justin Tait Gregory Individual Corporate OfficerCfo Feb 1, 2022
Kevin James Christensen Individual Operational/Managerial ControlAdministrator Jul 1, 2022
Zafar Azimov Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2022 99.67%
Zamwell Group LLC Organization, Vancouver, WA LLC 5% Or Greater Direct Ownership Interest Feb 1, 2022
James G Adamson Individual 5% Or Greater Direct Ownership Interest Feb 1, 2022 50%
Anna J Haynes Individual Operational/Managerial Control Feb 1, 2022 10%

Facilities with the same owner 4

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

Change-of-ownership history 2

DateEventCounterparty
Jan 31, 2022 Change of OwnershipThis provider was the buyer Solace Healthcare, Inc.CCN 131566, ID, NPI 1417260563
Jan 31, 2022 Change of OwnershipThis provider was the seller Solace HealthcareCCN 131566, ID, NPI 1417260563

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": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1417260563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1784",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834031784",
            "telephone_number": "208-757-8444",
            "fax_number": "877-709-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 ENERGY PL STE 2",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834011033",
            "telephone_number": "208-757-8444",
            "fax_number": "877-709-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IF HOSPICE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "208-346-7807",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Solace Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.