MEDICARE: ELKHORN HEALTHCARE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1841961042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELKHORN HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	1668 RESORT ST STE A
Second Line	:
City	:	BAKER CITY
State	:	OR
Zip	:	97814-3966
Country	:	US
Telephone Number	:	208-401-1400
Fax Number	:

Provider Business Practice Location Address
First Line	:	1668 RESORT ST STE A
Second Line	:
City	:	BAKER CITY
State	:	OR
Zip	:	97814-3966
Country	:	US
Telephone Number	:	208-401-1400
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	AMBER L TUELLER
Credential	:
Telephone Number	:	208-207-2726

Provider Enumeration Date	:	09/27/2021
Last Update Date	:	05/28/2025

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Directions to “ELKHORN HEALTHCARE LLC ” Practice Location

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