NPIMap

Organization Active NPI

Alliance Home Health of Idaho, LLC

Doing business as Alliance Hospice

  • Community Based Hospice Care Agency
  • Twin Falls, ID
National Provider Identifier
1467772897
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ALLIANCE HOME HEALTH OF IDAHO, LLC
Doing business as
Alliance Hospice
Practice address
218 Falls Ave
Twin Falls, ID 83301-3372
Phone
(208) 733-2234
Fax
(208) 733-2542
NPI assigned
Jun 8, 2010
Last updated
Jun 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Authorized official

Name
Justin Larsen
Title
Owner/ President
Phone
(435) 753-3133

Specialties & licenses 1

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

Addresses

Primary practice location

218 Falls Ave
Twin Falls, ID 83301-3372

Mailing address

545 W 465 N
Suite 100
Providence, UT 84332-8003
Phone (435) 753-3133

Other names 1

  • Alliance Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

706 Main St
Gooding, ID 83330
Phone (208) 733-2234

20 N Main St
Ste 7
Malad City, ID 83252
Phone (208) 766-5143

440 E Clark St
Ste A
Pocatello, ID 83201
Phone (208) 233-1276

1096 Eastland Dr N
Twin Falls, ID 83301
Phone (208) 733-2234

218 Falls Ave
Twin Falls, ID 83301
Phone (208) 733-2234

550 Polk St
#B
Twin Falls, ID 83301
Phone (208) 733-2234

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Dec 21, 2016 Change of OwnershipThis provider was the seller Alliance Hospice of IdahoCCN 131544, ID, NPI 1699228403

Change of ownership 1

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

Practitioners & affiliated clinicians

Practitioners 9

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": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1467772897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 W 465 N",
            "address_2": "SUITE 100",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843328003",
            "telephone_number": "435-753-3133",
            "fax_number": "435-753-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 FALLS AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013372",
            "telephone_number": "208-733-2234",
            "fax_number": "208-733-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HOME HEALTH OF IDAHO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "435-753-3133"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.