NPIMap

Organization Active NPI

Teton Healthcare, Inc.

Doing business as Horizon Home Health and Hospice

  • Home Health Agency
  • Meridian, ID
National Provider Identifier
1689996357
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TETON HEALTHCARE, INC.
Doing business as
Horizon Home Health and Hospice
Practice address
63 W Willowbrook Dr
Meridian, ID 83646-1656
Phone
(208) 888-7877
Fax
(208) 888-7987
NPI assigned
Feb 23, 2010
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Amber Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X ID Primary
Community Based Hospice Care Agency 251G00000X ID

Addresses

Primary practice location

63 W Willowbrook Dr
Meridian, ID 83646-1656

Mailing address

63 W Willowbrook Dr
Meridian, ID 83646-1656
Phone (208) 888-7877

Other practice location 1

560 N 6th E
Mountain Home, ID 83647-2807
Phone (208) 587-6854

Other names 1

  • Horizon Home Health and Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160414001179 ID Part A Provider - Home Health Agency 4183856487 Practice locations: Meridian, ID; Mountain Home, ID
O20160418000111 ID Part A Provider - Hospice 4183856487 Practice locations: Meridian, ID; Mountain Home, ID

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1689996357. Details of each certification follow.

Home health agency certification: CCN 137065

Legal name
TETON HEALTHCARE INC
Doing business as
HORIZON HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 24, 1993
Last certification
Jul 28, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
63 W Willowbrook Dr
Meridian, ID 83646-1656

Hospice certification: CCN 131520

Legal name
TETON HEALTHCARE INC
Doing business as
HORIZON HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 8, 1995
Last certification
Sep 11, 2014
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Enrollment address
63 W Willowbrook Dr
Meridian, ID 83646-1656

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Horizon Home HealthCCN 137065 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Aug 24, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Hospice

Medicare Care Compare
Listed as
Horizon HospiceCCN 131520 · All quality measures
Ownership
For-Profit
Certified
May 8, 1995
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Healthcare Inc5 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.

Locations

312 E Main St
Emmett, ID 83617
Phone (208) 365-1693

560 N 6th E
Mountain Home, ID 83647
Phone (208) 587-6854

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Clinton Nickolas Pew Individual W-2 Managing EmployeeAdministrator Jul 1, 2022
W-2 Managing EmployeeAd; Jul 1, 2022
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Direct Ownership Interest May 1, 2017 100%
5% Or Greater Direct Ownership Interest Feb 1, 2016 100%
Brent Mills Individual Corporate OfficerTreasurer Mar 26, 2026
Brent Guerisoli Individual Corporate Director Jul 20, 2022
Corporate DirectorDirector and Sole Board Member Jul 20, 2022
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 1, 2019 100%
John J Gochnour Individual Corporate OfficerPresident/LLC Manager Aug 23, 2024
Corporate OfficerPresident Jul 11, 2024
Amber Tueller Individual Corporate OfficerSecretary Aug 23, 2024
Corporate OfficerSecretary Jul 11, 2024
Elliot McMillan Individual Corporate OfficerVice President Jul 9, 2020
Derrel V Walker Individual W-2 Managing EmployeeMD; Dec 28, 2015

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 141

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

View all 141

Change-of-ownership history 2

DateEventCounterparty
Feb 1, 2016 Change of OwnershipThis provider was the buyer Horizon Home HealthCCN 137065, ID, NPI 1689996357
Feb 1, 2016 Change of OwnershipThis provider was the seller Horizon Home HealthCCN 137065, ID, NPI 1689996357

Practitioners & affiliated clinicians

Affiliated clinicians 85

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1689996357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 W WILLOWBROOK DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461656",
            "telephone_number": "208-888-7877",
            "fax_number": "208-888-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 W WILLOWBROOK DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461656",
            "telephone_number": "208-888-7877",
            "fax_number": "208-888-7987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 N 6th E",
            "address_purpose": "LOCATION",
            "city": "Mountain Home",
            "state": "ID",
            "postal_code": "836472807",
            "country_code": "US",
            "telephone_number": "208-587-6854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TETON HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ID",
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "ID",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Home Health and Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Horizon Home Health and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.