# COMMUNITY NURSING SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Home Health of Eastern Idaho
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114637006
- **Authorized official:** LANECE BRINKERHOFF (VP CONTRACTING)
- **Authorized official phone:** (801) 233-6100

## Contact information

- **Practice address:** 1810 MORAN ST, IDAHO FALLS, ID 83401-4337
- **Practice address phone:** (208) 529-0342
- **Mailing address:** 2830 S REDWOOD RD STE A, WEST VALLEY CITY, UT 84119-5626
- **Mailing address phone:** (801) 639-5455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/01/2022
- **Last updated:** 12/01/2022