WHITEWATER HEALTHCARE LLC (NPI# 1477177921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477177921 |
| Entity Type | Organization |
| Organization Name | WHITEWATER HEALTHCARE LLC |
| Other Organization Name | SYMBII HOME HEALTH |
| Practice Address |
240 W Burnside Ave Ste B Chubbuck ID 83202-4703 |
| Practice Telephone | 0863722732 |
| Mailing Telephone | 0863722732 |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-19 |
| Authorized Official Name | LEE JOHNSON (TREASURER) |
| Authorized Official Telephone | 2084011369 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Symbii Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619591161 | Whitewater Healthcare LLC | Hospice Care, Community Based | 240 W Burnside Ave Ste B, Chubbuck, ID 83202-4703 | 2020-06-01 |
| Street Address |
240 W BURNSIDE AVE STE B |
| City | CHUBBUCK |
| State | ID |
| Zip Code | 83202-4703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619591161 | Whitewater Healthcare LLC | Hospice Care, Community Based | 240 W Burnside Ave Ste B, Chubbuck, ID 83202-4703 | 2020-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
| 1649712597 | Angie M Mccurdy | Audiologist | 4155 Yellowstone Hwy, Pine Ridge Mall, Pocatello, ID 83202 | 2016-11-09 |
| 1285180836 | Beverly Grigg Jones | Counselor | 210 W. Burnside, Chubbuck, ID 83202 | 2016-09-01 |
| 1376992503 | Andrea Walsh | Nurse Practitioner | 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 | 2016-06-08 |
| 1215381181 | Specialized Physical Therapy Pllc | Clinic/Center | 4141 Poleline Rd Ste A, Pocatello, ID 83202 | 2016-04-18 |
| 1457713588 | Jennifer Ann Gould | Radiologic Technologist | 907 Ryan Street, Chubbuck, ID 83202 | 2016-03-28 |
| 1154714897 | Phoenix Management LLC | Day Training, Developmentally Disabled Services | 10991 Deerridge Dr., Chubbuck, ID 83202 | 2015-03-05 |
| 1750781449 | Jennifer Lynn Seaich | Counselor | 4460 Center Way, Center Counseling, Pocatello, ID 83202 | 2014-08-29 |
| 1336562412 | Kurt Layton | Counselor | 337 Joel, Chubbuck, ID 83202 | 2014-01-27 |
| 1245653468 | Hannah's Place LLC | Occupational Therapist | 240 W Burnside Ave Ste D, Chubbuck, ID 83202 | 2014-01-23 |
| Find all providers in zip 83202 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790177962 | Avamere Home Health Care, LLC | Home Health | 240 W Burnside Ave, Suite B, Chubbuck, ID 83202-4702 | 2015-02-25 |
| 1720038094 | Access Home Care LLC | Home Health | 190 W Burnside Ave, Suite E, Chubbuck, ID 83202-2411 | 2006-05-10 |
| 1073827432 | Seasons of Hope LLC | Home Health | 4650 Hawthorne Rd Ste 3b, Chubbuck, ID 83202-2376 | 2010-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511213 | Irene M Ohls | Home Health | 322 W Logan St, Caldwell, ID 83605-1710 | 2020-09-03 |
| 1881202414 | Ann Chambers | Home Health | 1320 Dry Creek Rd, Troy, ID 83871-9664 | 2020-07-20 |
| 1720602816 | Ann Home Care LLC | Home Health | 42565 Silver Valley Rd, Kingston, ID 83839-9736 | 2020-06-03 |
| 1003436171 | Right At Home Care | Home Health | 158 E Main St Ste 4b, Grangeville, ID 83530-2283 | 2020-04-20 |
| 1467097410 | Karissa I Niece | Home Health | 3515 W Greenbrier Dr, Boise, ID 83705-4514 | 2019-11-14 |
| 1639714967 | Summerlin Healthcare, Inc. | Home Health | 1675 E Riverside Dr Ste 150, Eagle, ID 83616-7584 | 2019-11-11 |
| 1033768262 | Cloudnine Home Care LLC | Home Health | 482 Constitution Way Ste 110, Idaho Falls, ID 83402-3568 | 2019-09-10 |
| 1164082210 | Boise Home Care Inc. Comfort Keepers | Home Health | 7646 W Lemhi St Ste 4, Boise, ID 83709-2871 | 2019-06-19 |
| 1477111276 | Perfection Home Health LLC | Home Health | 1190 Quigley St Ste A, Idaho Falls, ID 83402-1812 | 2019-06-05 |
| 1568025674 | Terrace Home Health Boise LLC | Home Health | 2929 W Navigator Dr Ste 120, Meridian, ID 83642-7553 | 2019-04-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WHITEWATER HEALTHCARE LLC.
| 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.