AVALON HOSPICE, LLC


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

AVALON HOSPICE, LLC (NPI# 1497031421) 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) 1497031421
Entity Type Organization
Organization Name AVALON HOSPICE, 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 2011-10-21
Last Update Date 2011-10-21
Authorized Official Name MR. JACOB RAYMOND BRYAN (OWNER)
Authorized Official Telephone 2084190896
Authorized Official Credential MOT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based Agencies

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
1518242395 Teton Outpatient, LLC Clinic/Center 403 1st St, Idaho Falls, ID 83401-3928 2011-10-12
1003129073 Teton Home Health, LLC Home Health 403 1st St, Idaho Falls, ID 83401-3928 2010-07-20

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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306473277 Just 4 Kids Hospice LLC Hospice Care, Community Based 2431 Jafer Ct, Idaho Falls, ID 83404-5587 2020-03-23
1710432075 Brio Idaho Hospice LLC Hospice Care, Community Based 120 N Woodruff Ave, Idaho Falls, ID 83401-4335 2016-08-16
1699228403 S&g Hospice of Idaho LLC Hospice Care, Community Based 1655 1st St, Idaho Falls, ID 83401-4305 2016-07-28
1831466002 Teton Hospice Hospice Care, Community Based 2470 Jafer Court, Idaho Falls, ID 83404-7575 2011-11-16
1366686826 Advanced Home Health and Hospice Hospice Care, Community Based 2110 Niagara St, Idaho Falls, ID 83404-8025 2009-04-28
1396891412 Ninergk, LLC Hospice Care, Community Based 3470 Washington Pkwy, Idaho Falls, ID 83404-7579 2007-01-25
1730294463 Hospice Alliance of Idaho, LLC Hospice Care, Community Based 1270 S Woodruff Ave, Idaho Falls, ID 83404-5544 2006-08-21
1497706485 Hands of Hope Hospice, Inc. Hospice Care, Community Based 395 Kings Mill Cir, Idaho Falls, ID 83401-5808 2006-05-13
1407859721 Hospice of Eastern Idaho, Inc. Hospice Care, Community Based 1810 Moran St., Idaho Falls, ID 83401 2005-05-31
1700244076 Home Health Holdings, LLC Hospice Care, Community Based 3767 Professional Way, Idaho Falls, ID 83402-7315 2016-02-02
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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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