NPIMap

Organization Active NPI

Achs Hospice & Palliative Care, LLC

  • Community Based Hospice Care Agency
  • Eagle, ID
National Provider Identifier
1821427741
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ACHS HOSPICE & PALLIATIVE CARE, LLC
Practice address
815 S Bridge Way PL
Suite 122
Eagle, ID 83616-6006
Phone
(208) 473-2717
Fax
(877) 890-5617
NPI assigned
Nov 1, 2013
Last updated
Nov 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Miss Angela Hillesheim, RN
Title
Manager
Phone
(208) 473-2717

Specialties & licenses 1

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

Addresses

Primary practice location

815 S Bridge Way PL
Suite 122
Eagle, ID 83616-6006

Mailing address

815 S Bridge Way PL
Suite 122
Eagle, ID 83616-6006
Phone (208) 473-2717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131202000001 ID Part A Provider - Hospice 2365678075 Practice locations: Eagle, ID; Fruitland, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821427741. Details of each certification follow.

Hospice certification: CCN 131571

Legal name
ACHS HOSPICE & PALLIATIVE CARE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 30, 2014
Last certification
Jul 30, 2014
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Incorporated
Sep 30, 2013 in ID
Enrollment address
815 S Bridgeway Place
Suite 122
Eagle, ID 83616-6022

Care Compare: Hospice

Medicare Care Compare
Listed as
Achs Hospice & Palliative CareCCN 131571 · All quality measures
Ownership
For-Profit
Certified
Jul 30, 2014
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

815 S Bridgeway Pl
Ste 122
Eagle, ID 83616
Phone (208) 473-2717

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Angela Hilleshiem Individual 5% Or Greater Direct Ownership InterestPresident Oct 27, 2017 5%
Corporate OfficerBoard Member Owner Administrativ Sep 30, 2013 100%
Operational/Managerial ControlAdministrator Sep 30, 2013 100%
Cabj Investments Organization, Meridian, ID LLC 5% Or Greater Direct Ownership Interest Oct 27, 2017 15%
Philip Gisi Individual 5% Or Greater Indirect Ownership InterestOwner/Ceo Mar 1, 2023 80%
Corporate OfficerOwner/Ceo/Board Member Jan 1, 2018
Jennifer L Davis Individual W-2 Managing EmployeeVice President of Health Services May 22, 2020
Jason Ludwig Individual Contracted Managing EmployeeMD; Mar 1, 2023
5% Or Greater Indirect Ownership InterestMedical Director Oct 27, 2017 7.5%
Aaron Moorhouse Individual 5% Or Greater Indirect Ownership Interest Oct 27, 2017 7.5%
Corporate OfficerBoard Member Oct 17, 2017
Edgewood Op Co LLC Organization, Grand Forks, ND LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2017 80%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 8

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1821427741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S BRIDGE WAY PL",
            "address_2": "SUITE 122",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166006",
            "telephone_number": "208-473-2717",
            "fax_number": "877-890-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S BRIDGE WAY PL",
            "address_2": "SUITE 122",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166006",
            "telephone_number": "208-473-2717",
            "fax_number": "877-890-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHS HOSPICE & PALLIATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "HILLESHEIM",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-473-2717",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

Verify at the official NPI Registry.