| Organization Name: | HPA IDAHO, LLC |
| NPI Number: | 1174845762 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NORMA ENGLISH (CEO) |
| Mailing Address: | 830 N Main St Suite 200 Meridian |
| State: | ID US |
| Postal Code: | 836422609 |
| Phone Number: | 2082861300 |
| Fax Number: | 2802885700 |
| NPI Enumeration Date: | 02/23/2010 |
| NPI Last Update Date: | 05/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | NA |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |