Healthcare Provider Details

I. General information

NPI: 1912833104
Provider Name (Legal Business Name): HEARTHSTONE COMPANION CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5660 E FRANKLIN RD
NAMPA ID
83687-8173
US

IV. Provider business mailing address

5660 E FRANKLIN RD
NAMPA ID
83687-8173
US

V. Phone/Fax

Practice location:
  • Phone: 208-328-3654
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. BENNETT SCRIVENS
Title or Position: PRESIDENT/CEO
Credential: RN
Phone: 360-448-5701