Heritage Home Health, LLC
Organization Active NPI Community Based Hospice Care Agency · Pocatello, ID
NPI 1629319280 · NPPES record last updated Apr 24, 2026
Key facts
- NPI
- 1629319280
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- HERITAGE HOME HEALTH, LLC
- 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
- Organization subpart
- No
Authorized official
- Name
- Jonny Ryan Fisher
- Title
- Ceo
- Phone
- (208) 238-0088
Owners & managing parties with NPI records 1
-
Zachary Bryant Warnock, M.D.
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Facilities with the same owner 1
Affiliated clinicians 8
-
Wallace C Baker, M.D.
-
Brittany Morgan Beers, FNP-C
-
Josie F Farmer, NP-C
-
Anne B Fullmer, FNP
-
Brad Leon Hyatt, DO
-
Zachary Bryant Warnock, M.D.
Medicare Care Compare: Hospice
- Listed as
- Heritage Hospice
- Ownership
- For-Profit
- Certified
- Aug 12, 2013
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
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 · Proprietary
- Enrollment address
- 1009 W Quinn Rd
Pocatello, ID 83202-2425
All disclosed owners & managing parties 7
| 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 |
Medicare enrollment records
| 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 |
National Provider Directory
- Tax ID family
- Heritage Health
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
4922 Yellowstone Ave
Ste J
Pocatello, ID 83202
Phone (208) 237-1882
Interoperability endpoints
- https://api.platform.athenahealth.com/16899/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
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
- Heritage Hospice
Other providers in Pocatello, ID
- Thomas Henrie
- Kimberly Heppner
- Tyler Hepworth
- Judy Herald-Bowden
- Heritage Home Health LLC
- Heritage Physician and Resource Group LLC
- Daniel Herrera
- Jessica Beth Hetcko
- Jonah Nicholas Heyneman
- Nicholas E. Heyneman
All providers in Pocatello, ID · Community Based Hospice Care Agency in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.