Active NPI
Hands of Hope Hospice, LLC
- Community Based Hospice Care Agency
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HANDS OF HOPE HOSPICE, LLC
- Practice address
- 3242 S Woodruff Ave Ste B
Idaho Falls, ID 83404-8305 - Phone
- (208) 523-7441
- Fax
- (208) 542-0528
- NPI assigned
- May 13, 2006
- Last updated
- Nov 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steve Murphy
- Title
- SVP, Finance
- Phone
- (619) 757-2700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
3242 S Woodruff Ave Ste B
Idaho Falls, ID 83404-8305
Mailing address
2365 Northside Dr Ste 200
San Diego, CA 92108-2720
Phone (888) 871-0766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807129700 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050119000630 | ID | Part A Provider - Hospice | 1850340654 | Practice locations: Idaho Falls, ID |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1497706485. Details of each certification follow.
Hospice certification: CCN 131547
- Legal name
- HANDS OF HOPE HOSPICE LLC
- Doing business as
- MISSION HOSPICE SERVICES OF IDAHO FALLS
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 15, 2005
- Last certification
- Feb 25, 2021
- Ownership / control type
- Proprietary - Partnership
- Most recent change of ownership
- Aug 30, 2024
- Organization structure
- LLC
- Incorporated
- Dec 16, 2004 in ID
- Enrollment address
- 3242 S Woodruff Ave
Ste B
Idaho Falls, ID 83404-8305
Care Compare: Hospice
Medicare Care Compare- Listed as
- Hands of Hope Hospice
- Ownership
- For-Profit
- Certified
- Mar 15, 2005
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
3242 S Woodruff Ave
#B
Idaho Falls, ID 83404
Phone (208) 523-7441
Ownership & related parties
All disclosed owners & managing parties 16
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Mission Healthcare Intermediate Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 22, 2021 | 100% |
| TVG Bolt Buyer, LLC | 5% Or Greater Indirect Ownership Interest | Jul 22, 2021 | 47.79% |
| Mission Healthcare Services, LLC | 5% Or Greater Indirect Ownership Interest | Jul 22, 2021 | 100% |
| Capricorn Healthcare & Special Opportunities II, LP | 5% Or Greater Indirect Ownership Interest | Jun 25, 2024 | 9.49% |
| MH Holdings Management Holdco LLC | 5% Or Greater Indirect Ownership Interest | Jul 22, 2021 | 21.47% |
| Vistria Fund III (Ft) LP | 5% Or Greater Indirect Ownership Interest | Jul 22, 2021 | 15.33% |
| TVG MH Holdings III (Ft) LP | 5% Or Greater Indirect Ownership Interest | Jul 22, 2021 | 15.73% |
| Audra Cook | W-2 Managing Employee | Oct 26, 2021 | |
| Mission Jazz Buyer LLC | 5% Or Greater Indirect Ownership Interest | Jul 1, 2022 | 100% |
| TVG MH Intermediate Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 22, 2021 | 100% |
| Eagle Rock Hospice LLC | 5% Or Greater Direct Ownership Interest | Oct 1, 2020 | 100% |
| TVG MH III (Ft) Blocker LLC | 5% Or Greater Indirect Ownership Interest | Jul 22, 2021 | 15.73% |
| Steve Murphy | Corporate Officer | Jun 5, 2023 | |
| Operational/Managerial Control | Jun 5, 2023 | ||
| TVG MH Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jul 22, 2021 | 100% |
| Vistria Fund III LP | 5% Or Greater Indirect Ownership Interest | Jul 22, 2021 | 32.05% |
| Boyd Kimball Southwick | Contracted Managing Employee | Jan 1, 2019 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1578613337
Contracted Managing Employee
Facilities with the same owner 95
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Mission Home Health of Idaho Falls
- Home Health Agency
- Idaho Falls, ID
- NPI 1093037178
Capricorn Healthcare & Special Opportunities II, LP, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, Mission Healthcare Services, LLC, Mission Jazz Buyer LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH
-
dba Mission Home Health of Bend
- Home Health Agency
- Bend, OR
- NPI 1477929776
Capricorn Healthcare & Special Opportunities II, LP, MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH III (Ft) Blocker LLC, TVG MH Interme
-
dba VitalCaring Group
- Home Health Agency
- Crystal River, FL
- NPI 1083614119
Vistria Fund III (Ft) LP, Vistria Fund III LP
-
dba VitalCaring Group
- Home Health Agency
- Missouri City, TX
- NPI 1194123521
Vistria Fund III (Ft) LP, Vistria Fund III LP
-
dba VitalCaring Group
- Home Health Agency
- Beaumont, TX
- NPI 1679842298
Vistria Fund III (Ft) LP, Vistria Fund III LP
-
dba VitalCaring Group
- Home Health Agency
- Porter, TX
- NPI 1982765632
Vistria Fund III (Ft) LP, Vistria Fund III LP
-
dba Traditions Health of Checotah
- Home Health Agency
- Muskogee, OK
- NPI 1679051122
Vistria Fund III (Ft) LP, Vistria Fund III LP
-
dba VitalCaring Group
- Home Health Agency
- Houma, LA
- NPI 1144210485
Vistria Fund III (Ft) LP, Vistria Fund III LP
-
dba VitalCaring Group
- Home Health Agency
- Morgan City, LA
- NPI 1609009844
Vistria Fund III (Ft) LP, Vistria Fund III LP
-
dba VitalCaring Group
- Community Based Hospice Care Agency
- Flowood, MS
- NPI 1821419052
Vistria Fund III (Ft) LP, Vistria Fund III LP
-
dba Mission Home Health of Central Coast
- Home Health Agency
- Grover Beach, CA
- NPI 1083050280
MH Holdings Management Holdco LLC, Mission Healthcare Intermediate Holdings LLC, TVG Bolt Buyer, LLC, TVG MH Holdings III (Ft) LP, TVG MH Holdings LLC, TVG MH III (Ft) Blocker LLC, TVG MH Intermediate Holdings LLC, Vistria Fund III (Ft) LP, Vistri
-
dba VitalCaring Group
- Home Health Agency
- Lafayette, LA
- NPI 1881693182
Vistria Fund III (Ft) LP, Vistria Fund III LP
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.
-
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1578613337
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": "1147478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700524800000",
"number": "1497706485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2365 NORTHSIDE DR STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921082720",
"telephone_number": "888-871-0766",
"fax_number": "866-551-0846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3242 S WOODRUFF AVE STE B",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834048305",
"telephone_number": "208-523-7441",
"fax_number": "208-542-0528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANDS OF HOPE HOSPICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-13",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A",
"authorized_official_last_name": "MURPHY",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "SVP, FINANCE",
"authorized_official_telephone_number": "619-757-2700"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807129700",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.