Healthcare Provider Details

I. General information

NPI: 1821427741
Provider Name (Legal Business Name): ACHS HOSPICE & PALLIATIVE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2013
Last Update Date: 11/18/2021
Certification Date: 11/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 S BRIDGE WAY PL SUITE 122
EAGLE ID
83616-6006
US

IV. Provider business mailing address

815 S BRIDGE WAY PL SUITE 122
EAGLE ID
83616-6006
US

V. Phone/Fax

Practice location:
  • Phone: 208-473-2717
  • Fax: 877-890-5617
Mailing address:
  • Phone: 208-473-2717
  • Fax: 877-890-5617

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: MISS ANGELA HILLESHEIM
Title or Position: MANAGER
Credential: RN
Phone: 208-473-2717