CC Home Health Choices, LLC

Key facts

NPI

1861896987

Entity type

Organization (NPI type 2)

Primary specialty

Community Based Hospice Care Agency 251G00000X

Legal business name

CC HOME HEALTH CHOICES, LLC

Practice address

404 Courthouse Dr
Salmon, ID 83467-3341

Phone

(208) 993-8050

Fax

(208) 993-8046

NPI assigned

Oct 17, 2014

Organization subpart

No

Authorized official

Name

Cindy L Clark, RN

Title

Owner

Phone

(208) 993-3479

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• CC Home Health Choices, LLC Nursing Care Agency · Salmon, ID · NPI 1902784119
  NPPES parent name

Corporate family (same tax ID) 1

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

• CC Home Health Choices, LLC Nursing Care Agency · Salmon, ID · NPI 1902784119
  NPD tax ID

Affiliated clinicians 4

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

• Samuel D Gardner, DO Family Medicine Physician · Salmon, ID · NPI 1962588111
  Care Compare affiliation Hospice
• Joseph James Krakker III, D.O. Family Medicine Physician · Salmon, ID · NPI 1417397001
  Care Compare affiliation Hospice
• Linda J Powell, MD Family Medicine Physician · Salmon, ID · NPI 1083776157
  Care Compare affiliation Hospice
• Max Dennis Scholle, M.D. Family Medicine Physician · Hotchkiss, CO · NPI 1508146267
  Care Compare affiliation Hospice

Medicare Care Compare: Hospice

Listed as

Salmon Valley Hospice CCN 131573

Ownership

For-Profit

Certified

Apr 16, 2015

Medicare certification status

Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment

Enrolled in ID

Hospice certification: CCN 131573

Legal name

CC HOME HEALTH CHOICES LLC

Doing business as

SALMON VALLEY HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 16, 2015

Last certification

Apr 23, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLC · Proprietary

Incorporated

Oct 2, 2014 in ID

Enrollment address

404 Courthouse Dr
Salmon, ID 83467-3341

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.

Medicare enrollment records

National Provider Directory

Tax ID family

CC Home Health Choices LLC (2 organizations share this tax ID)

Locations

Specialties & licenses

Addresses

Other names

• Salmon Valley Hospice Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 19, 2025.

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1861896987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 COURTHOUSE DR",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834673341",
            "telephone_number": "208-993-8050",
            "fax_number": "801-337-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 COURTHOUSE DR",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834673341",
            "telephone_number": "208-993-8050",
            "fax_number": "208-993-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC HOME HEALTH CHOICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-993-3479",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salmon Valley Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salmon, ID

• Tevagene Bragg
• Nancy J Bryant, P.T.
• Kirstie Burch, RN
• Stewart G Carrington, MD
• Howard L Carroll, LCPC
• CC Home Health Choices, LLC
• Amanda Kay Clark
• Charles John Clark, R.PH.
• Catherine Cochran, RPH
• Jennifer Victoria Coffey, D.C.

All providers in Salmon, ID · Community Based Hospice Care Agency in Idaho