DESERET CARE, LLC (NPI# 1902074008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902074008 |
Entity Type | Organization |
Organization Name | DESERET CARE, LLC |
Other Organization Name | LOVE HOSPICE |
Practice Address |
353 N 4th Ave Suite 205 Pocatello ID 83201-6390 |
Mailing Address |
1405 W 2200 S Suite 200 Salt Lake City UT 84119-1485 |
Practice Telephone | 2084786677 |
Practice Fax Number | 2084782618 |
Mailing Telephone | 8019730900 |
Mailing Fax Number | 8019739571 |
Enumeration Date | 2008-02-12 |
Last Update Date | 2008-02-12 |
Authorized Official Name | MR. STEVE LOVE (PRESIDENT, CEO) |
Authorized Official Telephone | 8019730900 |
Authorized Official Credential | RRT |
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 |
---|---|
Love Hospice | Doing Business As Name - Organization |
Street Address |
353 N 4TH AVE SUITE 205 |
City | POCATELLO |
State | ID |
Zip Code | 83201-6390 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063587509 | Alliance Home Health of Idaho, LLC | Home Health | 353 N 4th Ave, Suite 205, Pocatello, ID 83201-6390 | 2006-11-21 |
1134621436 | Bmh Inc. | Surgery | 353 N 4th Ave, Pocatello, ID 83201-6390 | 2018-03-02 |
1740632942 | Bmh Inc | Clinic/Center | 353 N 4th Ave, Suite 102, Pocatello, ID 83201-6390 | 2016-07-12 |
1124448675 | Jason W Balls | Counselor | 353 N 4th Ave, Ste 110, Pocatello, ID 83201-6390 | 2014-04-23 |
1265862783 | Naomi Reardon | Counselor | 353 N 4th Ave, Ste 110, Pocatello, ID 83201-6390 | 2013-11-19 |
1598105462 | Joshua M Nielsen | Counselor | 353 N 4th Ave, Suite 110, Pocatello, ID 83201-6390 | 2013-06-25 |
1881034759 | Aaron S Green | Counselor | 353 N 4th Ave, Suite 110, Pocatello, ID 83201-6390 | 2013-06-25 |
1124464318 | Jackie L Newsom | Social Worker | 353 N 4th Ave, Ste 110, Pocatello, ID 83201-6390 | 2013-05-15 |
1770929879 | Terri S Bergmeier | Counselor | 353 N 4th Ave, Suite 110, Pocatello, ID 83201-6390 | 2013-05-15 |
1730524885 | Chidimma Njoku | Counselor | 353 N 4th Ave, Suite 110, Pocatello, ID 83201-6390 | 2013-05-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
Find all providers in zip 83201 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326329780 | Encompass Hospice of The West, LLC | Hospice Care, Community Based | 183 Vista Dr Ste B, Pocatello, ID 83201-5824 | 2011-08-30 |
1730365867 | Mountain Valley Health Services | Hospice Care, Community Based | 342 Yellowstone Ave, Pocatello, ID 83201-4530 | 2008-01-18 |
1417062274 | Creekside Hospice Inc. | Hospice Care, Community Based | 1246 Yellowstone Ave Ste C5, Pocatello, ID 83201-4373 | 2006-08-20 |
1659799567 | Rocky Mountain Home Health and Hospice | Hospice Care, Community Based | 732 Washington Ave, Pocatello, ID 83201-3748 | 2014-03-29 |
1629319280 | Heritage Home Health, LLC | Hospice Care, Community Based | 1009 W Quinn Rd, Suite B, Pocatello, ID 83202-2425 | 2013-03-07 |
1902995814 | State of Idaho | Hospice Care, Community Based | 1901 Alvin Ricken Dr, Pocatello, ID 83201-2727 | 2006-10-11 |
1700981024 | Mountain Valley Hospice, Inc | Hospice Care, Community Based | 444 Hospital Way, Suite 411, Pocatello, ID 83201-2701 | 2006-09-13 |
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 |
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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.