Active NPI
Heritage Home Health, LLC
Doing business as Heritage Hospice
- Community Based Hospice Care Agency
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HERITAGE HOME HEALTH, LLC
- Doing business as
- Heritage Hospice
- Practice address
- 1009 W Quinn Rd
Suite B
Pocatello, ID 83202-2425 - Phone
- (208) 238-0088
- Fax
- (208) 238-0055
- NPI assigned
- Mar 7, 2013
- Last updated
- Apr 24, 2026
- 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
- Jonny Ryan Fisher
- Title
- Ceo
- Phone
- (208) 238-0088
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1009 W Quinn Rd
Suite B
Pocatello, ID 83202-2425
Mailing address
1009 W Quinn Rd
Suite B
Pocatello, ID 83202-2425
Phone (208) 238-0088
Other practice location 1
560 W Sunnyside Rd Ste E
Idaho Falls, ID 83402-4521
Phone (208) 980-6342
Other practice location 2
788 Eastland Dr Ste A
Twin Falls, ID 83301-6856
Phone (208) 410-4040
Other names 1
- Heritage Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130402000243 | ID | Part A Provider - Hospice | 5092856773 | Practice locations: Twin Falls, ID; Pocatello, ID; Idaho Falls, ID |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1629319280. Details of each certification follow.
Hospice certification: CCN 131568
- Legal name
- HERITAGE HOME HEALTH LLC
- Doing business as
- HERITAGE HOME HEALTH AND HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Aug 12, 2013
- Last certification
- Jun 22, 2017
- Ownership / control type
- Proprietary - Partnership
- Organization structure
- LLC
- Enrollment address
- 1009 W Quinn Rd
Pocatello, ID 83202-2425
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
- Heritage Hospice
- Ownership
- For-Profit
- Certified
- Aug 12, 2013
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Heritage Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Pocatello, ID
- NPI 1396074027
Locations
1075 S Utah Ave
Ste 319
Idaho Falls, ID 83402
Phone (208) 980-6342
1460 Chamberlain Ave
Idaho Falls, ID 83402
Phone (208) 238-0088
560 W Sunnyside Rd
Ste E
Idaho Falls, ID 83402
Phone (208) 980-6342
4922 Yellowstone Ave
Ste J
Pocatello, ID 83202
Phone (208) 237-1882
788 Eastland Dr
#A
Twin Falls, ID 83301
Phone (208) 410-4040
Interoperability endpoints
- https://api.platform.athenahealth.com/16899/brand/1/csg/1/fhir/r4
Ownership & related parties
All disclosed owners & managing parties 7
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 |
|---|---|---|---|
| Jonathan Fisher | 5% Or Greater Indirect Ownership Interest | Aug 31, 2023 | 21.48% |
| Corporate Officer | Aug 31, 2023 | 21.48% | |
| Kellen B Fisher | 5% Or Greater Indirect Ownership Interest | Aug 31, 2023 | 8.05% |
| Corporate Officer | Aug 31, 2023 | 8.05% | |
| Kimberly Hymas | Contracted Managing Employee | Sep 1, 2024 | |
| Blackline Financial LLC | 5% Or Greater Direct Ownership Interest | Aug 31, 2023 | 21.48% |
| Operational/Managerial Control | Aug 31, 2023 | 21.48% | |
| Ipm LLC | 5% Or Greater Direct Ownership Interest | Aug 31, 2023 | 8.05% |
| Troy V Bell | 5% Or Greater Direct Ownership Interest | Aug 31, 2023 | 70.46% |
| Corporate Officer | Aug 31, 2023 | 70.46% | |
| Operational/Managerial Control | Aug 31, 2023 | 70.46% | |
| Zachary B Warnock | Contracted Managing Employee | Apr 24, 2016 |
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
- Pocatello, ID
- NPI 1164717419
Contracted Managing Employee
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Home Health Agency
- Pocatello, ID
- NPI 1396074027
Blackline Financial LLC, Ipm LLC
Practitioners & affiliated clinicians
Affiliated clinicians 8
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": "1362614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776988800000",
"number": "1629319280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 W QUINN RD",
"address_2": "SUITE B",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832022425",
"telephone_number": "208-238-0088",
"fax_number": "208-238-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 W QUINN RD",
"address_2": "SUITE B",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832022425",
"telephone_number": "208-238-0088",
"fax_number": "208-238-0055"
}
],
"practiceLocations": [
{
"address_1": "560 W Sunnyside Rd Ste E",
"address_purpose": "LOCATION",
"city": "Idaho Falls",
"state": "ID",
"postal_code": "834024521",
"country_code": "US",
"telephone_number": "208-980-6342",
"fax_number": "208-656-1386",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "788 Eastland Dr Ste A",
"address_purpose": "LOCATION",
"city": "Twin Falls",
"state": "ID",
"postal_code": "833016856",
"country_code": "US",
"telephone_number": "208-410-4040",
"fax_number": "208-410-4038",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HERITAGE HOME HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-07",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "JONNY",
"authorized_official_middle_name": "RYAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "208-238-0088"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heritage Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.