Healthcare Provider Details

I. General information

NPI: 1154761963
Provider Name (Legal Business Name): THE TRENDING GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2013
Last Update Date: 06/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 S BRIDGE WAY PL STE 122
EAGLE ID
83616-6022
US

IV. Provider business mailing address

3544 E 17TH ST
AMMON ID
83406-6911
US

V. Phone/Fax

Practice location:
  • Phone: 208-473-2717
  • Fax:
Mailing address:
  • Phone: 208-524-0685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. JENNIFER L DAVIS
Title or Position: ADMINISTRATOR
Credential:
Phone: 208-473-2717