Organization Active NPI

Treasure Valley Hospice, LLC

  • Community Based Hospice Care Agency
  • Nampa, ID
National Provider Identifier
1659553196
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
TREASURE VALLEY HOSPICE, LLC
Practice address
8 6TH St N Ste 200
Nampa, ID 83687-5095
Phone
(208) 467-7423
Fax
(208) 475-6038
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
Mr. Neil L. Robinson
Title
Cfo
Phone
(208) 467-7423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

8 6TH St N Ste 200
Nampa, ID 83687-5095

Mailing address

8 6TH St N Ste 200
Nampa, ID 83687-5095
Phone (208) 467-7423

Other identifiers 1

IdentifierTypeStateIssuer
808275400MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

5700 E Franklin Rd
Ste 110
Nampa, ID 83687
Phone (208) 830-5444

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Sep 4, 2020 Change of OwnershipThis provider was the seller Idaho Home Health & Hospice of Treasure ValleyCCN 131558, ID, NPI 1174130264

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1659553196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 6TH ST N STE 200",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875095",
            "telephone_number": "208-467-7423",
            "fax_number": "208-475-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 6TH ST N STE 200",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875095",
            "telephone_number": "208-467-7423",
            "fax_number": "208-475-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE VALLEY HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "208-467-7423",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808275400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.