# FOUNTAIN HILLS MEDICAL & HOME HEALTH AGENCY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942023213
- **Authorized official:** LEMBI JUDIS CHE DNP, ARNP (OWNER)
- **Authorized official phone:** (509) 780-3155

## Contact information

- **Practice address:** 1705 11TH ST, LEWISTON, ID 83501-3932
- **Practice address phone:** (208) 553-4308
- **Mailing address:** 1705 11TH ST, LEWISTON, ID 83501-3932
- **Mailing address phone:** (208) 553-4308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/05/2024
- **Last updated:** 07/27/2026