WHITEWATER HEALTHCARE LLC (NPI# 1619591161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619591161 |
| Entity Type | Organization |
| Organization Name | WHITEWATER HEALTHCARE LLC |
| Other Organization Name | SYMBII HOSPICE |
| Practice Address |
240 W Burnside Ave Ste B Chubbuck ID 83202-4703 |
| Practice Telephone | 2086372273 |
| Mailing Telephone | 2086372273 |
| 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 | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Symbii Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477177921 | Whitewater Healthcare LLC | Home Health | 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 |
|---|---|---|---|---|
| 1477177921 | Whitewater Healthcare LLC | Home Health | 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 | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881086056 | Northwest Hospice, LLC | Hospice Care, Community Based | 240 W Burnside Ave, Suite B, Chubbuck, ID 83202-4702 | 2015-02-25 |
| 1164472445 | Access Hospice Care LLC | Hospice Care, Community Based | 190 W Burnside Ave, Suite E, Chubbuck, ID 83202-2411 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441963 | Bluebird Hospice. LLC | Hospice Care, Community Based | 408 S Eagle Rd Ste 205, Eagle, ID 83616-6079 | 2020-06-08 |
| 1902426521 | All Grace Home Health, Hospice, and Palliative Care LLC | Hospice Care, Community Based | 815 S Bridgeway Pl Ste 110, Eagle, ID 83616-6021 | 2020-04-23 |
| 1306473277 | Just 4 Kids Hospice LLC | Hospice Care, Community Based | 2431 Jafer Ct, Idaho Falls, ID 83404-5587 | 2020-03-23 |
| 1164054136 | Mohave Healthcare, Inc. | Hospice Care, Community Based | 1675 E Riverside Dr Ste 200, Eagle, ID 83616-7473 | 2020-02-07 |
| 1083156194 | Spokane Healthcare, Inc. | Hospice Care, Community Based | 927 E Polston Ave Ste 203, Post Falls, ID 83854-9390 | 2016-11-07 |
| 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 |
| 1871946483 | Doctor's Hospice of Idaho LLC | Hospice Care, Community Based | 1552 N Crestmont Dr Ste B, Meridian, ID 83642-2193 | 2016-07-19 |
| 1225487648 | Odyssey Healthcare Operating B, Lp | Hospice Care, Community Based | 1230 Northwood Center Ct., Ste. B, Coeur D'alene, ID 83814-4940 | 2016-06-07 |
| 1427421114 | Keystone Hospice, LLC | Hospice Care, Community Based | 21 N Fisher Park Way, Eagle, ID 83616-4796 | 2015-11-04 |
| Find all providers with the same taxonomy | ||||
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| 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.