Organization
GUARDIAN HOME CARE, INC
Active
Parent organization
ENHABIT, INC.
Other names
Enhabit Hospice of Idaho
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENHABIT, INC.
Authorized official
JULIE DIANE JOLLEY (EVP OF HOME HEALTH OPERATIONS)
(214) 239-6500
Entity
Organization
Contact information
Practice address
435 S WHITLEY DR, FRUITLAND, ID 83619-2542
(208) 452-4972
(208) 452-4974
Mailing address
6688 N CENTRAL EXPY, SUITE 1300, DALLAS, TX 75206-3950
(214) 239-6500
(214) 239-6581
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010153410
REGENCE OF IDAHO
ID
05
—
806662800
—
ID
01
—
H0372
BLUE CROSS
ID
Enumeration date
01/09/2007
Last updated
12/31/2024
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