Geiss Med Hospice Id LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GEISS MED HOSPICE ID LLC

Practice address

4301 Garrity Blvd Ste 103
Nampa, ID 83687-9222

Phone

(657) 315-0858

NPI assigned

Apr 21, 2022

Organization subpart

No

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

Authorized official

Name

John Geiss

Title

Sole MBR

Phone

(657) 315-0858

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Hospice certification: CCN 131593

Legal name

GEISS MED HOSPICE ID LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 9, 2025

Last certification

Apr 3, 2025

Organization structure

LLCProprietary

Enrollment address

4301 Garrity Blvd
Ste 103
Nampa, ID 83687-9222

Listed as

Geiss Med Hospice Id LLCCCN 131593

Certified

Apr 9, 2025

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

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 2

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

• Daniel Brian McConnell Jr., MSPA

  • Medical Physician Assistant
  • Nampa, ID
  • NPI 1376888735

  W-2 Managing Employee

  CMS ownership
• John Mark Geiss, D.O.

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1053651497

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Brian McConnell Jr., MSPA

  • Medical Physician Assistant
  • Nampa, ID
  • NPI 1376888735
  NPD (past)

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1861136335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2592 N SANTIAGO BLVD",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928671862",
            "telephone_number": "855-434-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 GARRITY BLVD STE 103",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836879222",
            "telephone_number": "657-315-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEISS MED HOSPICE ID LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "GEISS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "657-315-0858"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Gregerson MD PA
• Gary Gregerson, M.D., P.a.
• Stephanie D Geddes, PHARMD
• Blaine Joseph Geiger, LMSW
• Janece Geisel, LCPC
• Ashley Geist, OTR/L
• Gem Prep: Nampa, Inc.
• Gem State Neurology PLLC
• Genoa Healthcare LLC
• Genoa Healthcare LLC

• Community Based Hospice Care Agency in Nampa, ID
• Providers in Nampa, 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 Apr 21, 2022; 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.