Brio Idaho Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BRIO IDAHO HOSPICE LLC

Practice address

950 Memorial Dr
Idaho Falls, ID 83402-3411

Phone

(208) 538-2223

Fax

(208) 538-2241

NPI assigned

Aug 16, 2016

Organization subpart

No

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

Authorized official

Name

Corey Boyd

Title

Owner/Ceo

Phone

(208) 538-2223

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Hospice certification: CCN 131578

Legal name

BRIO IDAHO HOSPICE LLC

Doing business as

BRIO IDAHO HEALTHCARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 27, 2017

Last certification

Aug 27, 2017

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Incorporated

Aug 12, 2016 in ID

Enrollment address

950 Memorial Dr
Idaho Falls, ID 83402-3411

Listed as

Brio Idaho Hospice LLCCCN 131578 · All quality measures

Ownership

For-Profit

Certified

Aug 27, 2017

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Brad C Erikson, DO

  • Family Medicine Physician
  • Idaho Falls, ID
  • NPI 1164477931

  W-2 Managing Employee

  CMS ownership

Facilities with the same owner 1

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

• Brio Idaho Home Health LLC

  • Home Health Agency
  • Idaho Falls, ID
  • NPI 1285189548

  Brio Idaho Healthcare LLC

  CMS ownership

Affiliated clinicians 1

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

• Brad C Erikson, DO

  • Family Medicine Physician
  • Idaho Falls, ID
  • NPI 1164477931

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1710432075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 MEMORIAL DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023411",
            "telephone_number": "208-538-2223",
            "fax_number": "208-538-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MEMORIAL DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023411",
            "telephone_number": "208-538-2223",
            "fax_number": "208-538-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIO IDAHO HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "208-538-2223"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Brimhall, PMHNP
• Gennifer Brinker
• Kendra Brinker, LMT
• Brio Idaheart Transport
• Brio Idaho Home Health LLC
• Brio Practice Management Idaho LLC
• Richard Brizzee
• Broadway Smiles
• Anne L Broadway, M.D.
• Brodi Smith DO PLLC

• Community Based Hospice Care Agency in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Community Based Hospice Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.

Verify at the official NPI Registry.