Organization Active NPI

Terrace Home Health Boise LLC

Doing business as Terrace Home Health

  • Home Health Agency
  • Meridian, ID
National Provider Identifier
1568025674
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TERRACE HOME HEALTH BOISE LLC
Doing business as
Terrace Home Health
Practice address
2929 W Navigator Dr Ste 310
Meridian, ID 83642-8297
Phone
(866) 294-6493
NPI assigned
Apr 16, 2019
Last updated
Aug 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Authorized official

Name
Jason Gatherum
Title
President & Cdo
Phone
(801) 397-4187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU 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 Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190719002189 ID Part A Provider - Home Health Agency 7012243660 Practice locations: Meridian, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568025674. Details of each certification follow.

Home health agency certification: CCN 137140

Legal name
TERRACE HOME HEALTH BOISE LLC
Doing business as
TERRACE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 17, 2019
Last certification
Oct 17, 2019
Ownership / control type
Proprietary
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: Home health agency

Medicare Care Compare
Listed as
Terrace Home HealthCCN 137140 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Oct 17, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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 16

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
Dee R Bangerter Individual 5% Or Greater Indirect Ownership InterestGrantor DLB Legacy LLC Mar 28, 2025 15.71%
BV Operations LLC. Organization, Meridian, ID LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 28, 2005 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%

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 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": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1568025674",
    "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": "866-294-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRACE HOME HEALTH BOISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "GATHERUM",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT & CDO",
        "authorized_official_telephone_number": "801-397-4187"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terrace Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.