MEDICARE: A BETTER WAY HOME, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326271818
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A BETTER WAY HOME, LLC

Provider Business Mailing Address
First Line	:	12400 W OVERLAND RD
Second Line	:	SUITE 100
City	:	BOISE
State	:	ID
Zip	:	83709-0021
Country	:	US
Telephone Number	:	208-322-4663
Fax Number	:	208-322-6087

Provider Business Practice Location Address
First Line	:	12400 W OVERLAND RD
Second Line	:	SUITE 100
City	:	BOISE
State	:	ID
Zip	:	83709-0021
Country	:	US
Telephone Number	:	208-322-4663
Fax Number	:	208-322-6087

Authorized Official
Title or Position	:	ADMINISTRATIVE MEMBER
Name	:	MS. KARA LYNN CRAIG
Credential	:	M.A.
Telephone Number	:	208-322-4663

Provider Enumeration Date	:	08/31/2009
Last Update Date	:	06/26/2013

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Directions to “A BETTER WAY HOME, LLC ” Practice Location

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