LHCG XVII, LLC (NPI# 1952614943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952614943 |
| Entity Type | Organization |
| Organization Name | LHCG XVII, LLC |
| Other Organization Name | IDAHO HOME CARE SUPPLY |
| Practice Address |
141 Citation Way Unit #2 Hailey ID 83333-5103 |
| Mailing Address |
Po Box 51266 Lafayette LA 70505-1266 |
| Practice Telephone | 2087886030 |
| Practice Fax Number | 2087881654 |
| Mailing Telephone | 3372331307 |
| Mailing Fax Number | 3372335764 |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-19 |
| Authorized Official Name | PETER C NOVEMBER II (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 3372331307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Idaho Home Care Supply | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356669675 | Lhcg Xvii, LLC | Home Health | 222 Shoshone St E, Twin Falls, ID 83301-6105 | 2010-05-11 |
| 1215248489 | Lhcg Xvii, LLC | Durable Medical Equipment & Medical Supplies | 826 Eastland Dr, Twin Falls, ID 83301-6858 | 2010-06-23 |
| 1700107901 | Lhcg Xvii, LLC | Durable Medical Equipment & Medical Supplies | 418 Oneida St, Rupert, ID 83350-1748 | 2010-06-22 |
| 1730407701 | Lhcg Xvii, LLC | Hospice Care, Community Based | 222 Shoshone St E, Twin Falls, ID 83301-6105 | 2010-05-14 |
| Street Address |
141 CITATION WAY UNIT #2 |
| City | HAILEY |
| State | ID |
| Zip Code | 83333-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487137493 | Jordyn Dooley | Counselor | 141 Citation Way, Hailey, ID 83333-5103 | 2018-09-14 |
| 1184066557 | Melissa Keegan | Social Worker | 141 Citation Way, Hailey, ID 83333-5103 | 2013-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227534 | Bonnie Bray | Community/Behavioral Health | 99 East Fork Road, Hailey, ID 83333 | 2020-05-18 |
| 1174010573 | Kh Counseling & Health Center, LLC | Social Worker | 409 N Main Street, Hailey, ID 83333 | 2018-04-20 |
| 1306126909 | Brad A Bjorsness | Pharmacist | 911 N. Main, Hailey, ID 83333 | 2011-08-26 |
| 1821384520 | Lee Pesky Learning Center | Local Education Agency (LEA) | 1060 Fox Acres Rd, Hailey, ID 83333 | 2011-06-22 |
| 1245478684 | Marlin Layne Felton | Pharmacist | 830 Deerfield Drive, Hailey, ID 83333 | 2009-01-22 |
| 1023230992 | Lawrence I Weiner | Psychiatry & Neurology | 202 Indian Creek Rd, Hailey, ID 83333 | 2007-05-02 |
| 1730308305 | Betty Lee Brooks | Counselor | 1811 Laurelwood Dr, Hailey, ID 83333 | 2007-04-24 |
| 1639231459 | Mary Ellen Oleary | Physical Therapist | 150 6th Ave, Hailey, ID 83333 | 2006-12-15 |
| 1851450498 | Donald Edwin Spengler | Dentist | 400 S Main Street, Hailey, ID 83333 | 2006-12-08 |
| 1831268341 | Cynthia Kay Unger | Dentist | 219 S River, Hailey, ID 83333 | 2006-11-07 |
| Find all providers in zip 83333 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669669248 | Idaho Home Health & Hospice, Inc. | Durable Medical Equipment & Medical Supplies | 141 Citation Way # 2, Hailey, ID 83333-5183 | 2007-09-27 |
| 1083985766 | Lukes Family Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 101 S Main St, Hailey, ID 83333-8408 | 2012-01-26 |
| 1194802108 | Karen E Fisher Ent | Durable Medical Equipment & Medical Supplies | 21 E Maple St, Suite B, Hailey, ID 83333-8401 | 2006-11-01 |
| 1730135245 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 911 N Main St, Hailey, ID 83333 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992335798 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1441 Ne 10th Ave Ste P1, Payette, ID 83661-5420 | 2020-01-21 |
| 1710528211 | Live Well Cpap and Medical Supply | Durable Medical Equipment & Medical Supplies | 11513 W Fairview Ave Ste 103, Boise, ID 83713-7887 | 2019-10-05 |
| 1053962712 | Rick Jay Williams | Durable Medical Equipment & Medical Supplies | 4723 Airport Rd, Nampa, ID 83687-9569 | 2019-09-24 |
| 1831741354 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 1070 N Curtis Rd Ste 110, Boise, ID 83706-1248 | 2019-07-15 |
| 1215589734 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 210 W Georgia Ave Ste 100, Nampa, ID 83686-5688 | 2019-07-15 |
| 1023581055 | Dermaclinical, Inc. | Durable Medical Equipment & Medical Supplies | 7154 W State St Ste 397, Boise, ID 83714-7421 | 2019-01-02 |
| 1467923789 | Amador Medical, LLC | Durable Medical Equipment & Medical Supplies | 963 S Orchard St Ste 203, Boise, ID 83705-1962 | 2018-12-14 |
| 1801365382 | Michael Jackson | Durable Medical Equipment & Medical Supplies | 5537b N Glenwood St Ste B, Garden City, ID 83714-1336 | 2018-11-14 |
| 1558840900 | Pure Vita Co. | Durable Medical Equipment & Medical Supplies | 4775 N Sunderland Ln, Boise, ID 83704-2216 | 2018-08-07 |
| 1023503497 | Evergreen Prosthetics and Orthotics, LLC | Durable Medical Equipment & Medical Supplies | 1818 S 10th Ave Ste 240, Caldwell, ID 83605-4880 | 2018-06-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LHCG XVII, 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.