Active NPI
Hearts at Home LLC
- In Home Supportive Care Agency
- Coeur D'Alene, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- HEARTS AT HOME LLC
- Practice address
- 418 E Lakeside Ave
Suite 6 - 1
Coeur D'Alene, ID 83814-2805 - Phone
- (208) 600-0760
- NPI assigned
- May 15, 2023
- 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
- Douglas D Holcomb, RN
- Title
- Franchise Owner
- Phone
- (208) 600-0760
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
418 E Lakeside Ave
Suite 6 - 1
Coeur D'Alene, ID 83814-2805
Mailing address
418 E Lakeside Ave
Suite 6 - 1
Coeur D'Alene, ID 83814-2805
Phone (208) 600-0760
Other names 2
- Nurse Next Door Coeur d'Alene
- Nurse Next Door Spokane
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230914000386 | ID | Part A Provider - Home Health Agency | 4486018199 | Practice locations: Coeur D Alene, ID |
Home health agency certification: CCN 137304
- Legal name
- HEARTS AT HOME LLC
- Doing business as
- NURSE NEXT DOOR COEUR D ALENE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 6, 2025
- Last certification
- Jan 31, 2025
- Organization structure
- LLC
- Incorporated
- Mar 8, 2023 in ID
- Enrollment address
- 418 E Lakeside Ave Suite 6 - 1
Coeur D Alene, ID 83814
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Nurse Next Door Coeur D'Alene
- Ownership
- -
- Certified
- Feb 6, 2025
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2310878 | Nurse Next Door Coeur D'Alene | Certificate of waiver | Sep 11, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Hearts at Home LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Coeur D Alene, ID
- NPI 1174310940
Locations
418 E Lakeside Ave
Ste 1
Coeur D Alene, ID 83814
Phone (208) 600-0760
Ownership & related parties
All disclosed owners & managing parties 2
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 |
|---|---|---|---|
| Eric Kenner | Operational/Managerial Control | Jun 15, 2023 | 100% |
| Douglas Holcomb | 5% Or Greater Direct Ownership Interest | Jul 4, 2023 | 100% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Registered Nurse
- Coeur D Alene, ID
- NPI 1598452658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739836800000",
"number": "1801587688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 E LAKESIDE AVE",
"address_2": "SUITE 6 - 1",
"city": "COEUR D'ALENE",
"state": "ID",
"postal_code": "838142805",
"telephone_number": "208-600-0760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 E LAKESIDE AVE",
"address_2": "SUITE 6 - 1",
"city": "COEUR D'ALENE",
"state": "ID",
"postal_code": "838142805",
"telephone_number": "208-600-0760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTS AT HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-15",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A",
"authorized_official_last_name": "HOLCOMB",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "FRANCHISE OWNER",
"authorized_official_telephone_number": "208-600-0760",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nurse Next Door Coeur d'Alene",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Nurse Next Door Spokane",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Coeur D'Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.