1043434079 NPI number — IDAHO HOME HEALTH & HOSPICE INC

Table of content: HERNAN NICOLAS LEMUS ESQUIVEL MD (NPI 1932632403)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043434079 NPI number — IDAHO HOME HEALTH & HOSPICE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
IDAHO HOME HEALTH & HOSPICE INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043434079
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/29/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
826 EASTLAND DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TWIN FALLS
Provider Business Mailing Address State Name:
ID
Provider Business Mailing Address Postal Code:
83301-6858
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
208-734-4061
Provider Business Mailing Address Fax Number:
208-733-5980

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
826 EASTLAND DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TWIN FALLS
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83301-6858
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-734-4061
Provider Business Practice Location Address Fax Number:
208-733-5980
Provider Enumeration Date:
04/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
OSBORN
Authorized Official First Name:
DEBBIE
Authorized Official Middle Name:
Authorized Official Title or Position:
VP OPERATION CFO
Authorized Official Telephone Number:
208-734-4061

Provider Taxonomy Codes

  • Taxonomy code: 251J00000X , registered in the state of ID ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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