TETON HOME HEALTH, LLC


Address: 403 1st St, Idaho Falls, ID 83401-3928
Phone: 2084190896

TETON HOME HEALTH, LLC (NPI# 1003129073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003129073
Entity Type Organization
Organization Name TETON HOME HEALTH, LLC
Other Organization Name AVALON HOME HEALTH, LLC
Practice Address 403 1st St
Idaho Falls
ID 83401-3928
Practice Telephone 2084190896
Practice Fax Number 2084190974
Mailing Telephone 2084190896
Mailing Fax Number 2084190974
Enumeration Date 2010-07-20
Last Update Date 2011-08-12
Authorized Official Name MR. JAKE BRYAN (MANAGER/OWNER)
Authorized Official Telephone 4357305860
Authorized Official Credential M.O.T.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health APPLIED FOR ID Agencies

Other Provider/Organization Names

Other Name Type Code
AVALON HOME HEALTH, LLC Doing Business As Name - Organization

Office Location

Street Address 403 1ST ST
City IDAHO FALLS
State ID
Zip Code 83401-3928

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144674599 Home Health Holdings, LLC In Home Supportive Care 403 1st St, Idaho Falls, ID 83401-3928 2016-04-21
1497031421 Avalon Hospice, LLC Hospice Care, Community Based 403 1st St, Idaho Falls, ID 83401-3928 2011-10-21
1518242395 Teton Outpatient, LLC Clinic/Center 403 1st St, Idaho Falls, ID 83401-3928 2011-10-12

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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033768262 Cloudnine Home Care LLC Home Health 482 Constitution Way Ste 110, Idaho Falls, ID 83402-3568 2019-09-10
1477111276 Perfection Home Health LLC Home Health 1190 Quigley St Ste A, Idaho Falls, ID 83402-1812 2019-06-05
1023409679 Abode H4h, LLC Home Health 503 S Woodruff Ave, Idaho Falls, ID 83401-5200 2015-02-17
1841543733 Signature Homecare LLC Home Health 2052 Jennie Lee Dr, Idaho Falls, ID 83404-7000 2012-10-17
1093037178 Hands of Hope Home Health, Inc Home Health 1379 E 17th St, Idaho Falls, ID 83404-6235 2010-02-17
1114098910 Creekside Home Health Inc. Home Health 3686 Washington Pkwy, Idaho Falls, ID 83404-7573 2006-11-13
1518980770 Onesource Hhc LLC Home Health 1680 Elk Creek Dr, Idaho Falls, ID 83404-1225 2006-07-26
1558368233 Western Visiting Nurses, Inc. Home Health 1400 Benton St, Idaho Falls, ID 83401-4253 2005-07-07
1922627173 Hw Group LLC Home Health 1970 E 17th St Ste 201, Idaho Falls, ID 83404-8048 2020-04-08
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Competitor

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City IDAHO FALLS
Zip Code 83401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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