Organization Active NPI

Hands of Hope Hospice, LLC

  • Community Based Hospice Care Agency
  • Idaho Falls, ID
National Provider Identifier
1497706485
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
807129700MedicaidID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 HospiceCCN 131547 · All quality measures
Ownership
For-Profit
Certified
Mar 15, 2005
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Mission Healthcare Intermediate Holdings LLC Organization, San Diego, CA LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 22, 2021 100%
TVG Bolt Buyer, LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 22, 2021 47.79%
Mission Healthcare Services, LLC Organization, San Diego, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 22, 2021 100%
Capricorn Healthcare & Special Opportunities II, LP Organization, San Diego, CA 5% Or Greater Indirect Ownership Interest Jun 25, 2024 9.49%
MH Holdings Management Holdco LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 22, 2021 21.47%
Vistria Fund III (Ft) LP Organization, Chicago, IL For-profit 5% Or Greater Indirect Ownership Interest Jul 22, 2021 15.33%
TVG MH Holdings III (Ft) LP Organization, Chicago, IL Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 22, 2021 15.73%
Audra Cook Individual W-2 Managing EmployeeAd; Oct 26, 2021
Mission Jazz Buyer LLC Organization, San Diego, CA LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2022 100%
TVG MH Intermediate Holdings LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 22, 2021 100%
Eagle Rock Hospice LLC Organization, St George, UT LLC, For-profit 5% Or Greater Direct Ownership Interest Oct 1, 2020 100%
TVG MH III (Ft) Blocker LLC Organization, Chicago, IL LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 22, 2021 15.73%
Steve Murphy Individual Corporate OfficerSVP, Finance Jun 5, 2023
Operational/Managerial ControlSVP, Finance Jun 5, 2023
TVG MH Holdings LLC Organization, Chicago, IL LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jul 22, 2021 100%
Vistria Fund III LP Organization, Chicago, IL For-profit 5% Or Greater Indirect Ownership Interest Jul 22, 2021 32.05%
Boyd Kimball Southwick Individual Contracted Managing EmployeeMD; 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.

Facilities with the same owner 95

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

View all 95

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.

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

Verify at the official NPI Registry.