Organization Active NPI

Hearts at Home LLC

  • In Home Supportive Care Agency
  • Coeur D'Alene, ID
National Provider Identifier
1801587688
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Douglas D Holcomb, RNNPI 1598452658
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)CodeLicenseStatePrimary
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 Doing business as
  • Nurse Next Door Spokane Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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'AleneCCN 137304
Ownership
-
Certified
Feb 6, 2025
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2310878Nurse Next Door Coeur D'Alene418 E Lakeside Ave Ste 6-1, Coeur D'Alene, ID 83814Certificate of waiverSep 11, 2026

National Provider Directory

National Provider Directory
Tax ID family
Hearts at Home LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
Eric Kenner Individual Operational/Managerial Control Jun 15, 2023 100%
Douglas Holcomb Individual 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.

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

Verify at the official NPI Registry.