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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
403 1ST ST |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401-3928 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| 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 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
Please comment or provide details below to improve the information on AVALON HOSPICE, 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.