NPIMap

Organization Active NPI

Terrace Home Health Boise LLC

  • Community Based Hospice Care Agency
  • Meridian, ID
National Provider Identifier
1497307938
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
TERRACE HOME HEALTH BOISE LLC
Doing business as
Terrace Hospice
Practice address
2929 W Navigator Dr Ste 310
Meridian, ID 83642-8297
Phone
(208) 506-7200
Fax
(208) 506-7201
NPI assigned
Jul 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Kelly Snowball
Title
Governing Body Chair
Phone
(801) 397-4000

Specialties & licenses 1

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

Addresses

Primary practice location

2929 W Navigator Dr Ste 310
Meridian, ID 83642-8297

Mailing address

598 W 900 S Ste 220
Woods Cross, UT 84010-8195
Phone (801) 397-4697

Other names 1

  • Terrace Hospice Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DSM@rockymountaincare.brightreedirect.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190830002208 ID Part A Provider - Hospice 7012243660 Practice locations: Meridian, ID

Hospice certification: CCN 131587

Legal name
TERRACE HOME HEALTH BOISE LLC
Doing business as
TERRACE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 4, 2023
Last certification
Jul 14, 2023
Organization structure
LLCProprietary
Incorporated
Apr 2, 2019 in ID
Enrollment address
2929 W Navigator Dr
Ste 310
Meridian, ID 83642-8297

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: Hospice

Medicare Care Compare
Listed as
Terrace HospiceCCN 131587
Certified
Aug 4, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Terrace Home Health Boise LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Edward L Bangerter Individual 5% Or Greater Indirect Ownership InterestLLC Member DLB Legacy LLC Mar 28, 2025 17.64%
Gary J Stevens Individual Corporate OfficerMember: Board of Managers Apr 1, 2025
Rmce Operations LLC Organization, Woods Cross, UT LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Mar 15, 2026
Donna L. Beeson Individual Contracted Managing EmployeeMD; Jun 20, 2025
Dee R Bangerter Individual 5% Or Greater Indirect Ownership InterestGrantor DLB Legacy LLC Mar 28, 2025 15.71%
BV Operations LLC. Organization, Idaho Falls, ID LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 28, 2025 22.84%
Allen L Ball Individual 5% Or Greater Indirect Ownership InterestGrantor Ball Ventures LLC Jan 16, 2001 11.42%
RMC Enterprises LLC Organization, Woods Cross, UT LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2025 100%
Connie L Ball Individual 5% Or Greater Indirect Ownership InterestGrantor Ball Ventures LLC Jan 16, 2001 11.42%
DLB Legacy LLC Organization, Woods Cross, UT LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2025 77.16%
Johnathan Bangerter Individual 5% Or Greater Indirect Ownership InterestMember and Trustee DLB Legacy LLC Mar 28, 2025 34.66%
Jason Gatherum Individual Corporate OfficerPresident & Cdo Apr 1, 2025
BV Pac Holdings LLC Organization, Idaho Falls, ID LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 1, 2025 22.84%
Kelly Snowball Individual Corporate OfficerGoverning Body Chair Apr 1, 2025
Lindsay Likes Individual W-2 Managing EmployeeAd; Mar 1, 2023 100%
Ball Ventures LLC Organization, Idaho Falls, ID LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 2, 2005 22.84%
Richard P Shrader Individual 5% Or Greater Indirect Ownership InterestTrustee DLB Legacy LLC Mar 28, 2025 8.11%

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 6

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1497307938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 W 900 S STE 220",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "840108195",
            "telephone_number": "801-397-4697",
            "fax_number": "801-296-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 W NAVIGATOR DR STE 310",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428297",
            "telephone_number": "208-506-7200",
            "fax_number": "208-506-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRACE HOME HEALTH BOISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "SNOWBALL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "GOVERNING BODY CHAIR",
        "authorized_official_telephone_number": "801-397-4000"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DSM@rockymountaincare.brightreedirect.net",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2929 W Navigator Dr Ste 310",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836428297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Terrace Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.