Organization · NPI-2

Bluebird Hospice, LLC

Hospice Care, Community Based · Meridian, ID

NPI number1104441963
StatusActive
Last updated in NPPESMay 28, 2025

Details

NPI
1104441963
Entity type
Organization (NPI-2)
Legal business name
Bluebird Hospice, LLC
Organization subpart
No
Enumeration date
Jun 8, 2020
Certification date
May 28, 2025
Last updated
May 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251G00000X Hospice Care, Community Based––Yes

Other names

  • Bluebird Hospice (Doing Business As)

Practice location

3080 E Gentry Way Ste 203
Meridian, ID 83642-3544

Phone 208-336-9898

Mailing address

3080 E Gentry Way Ste 203
Meridian, ID 83642-3544

Phone 208-336-9898

Authorized official

Amber L Tueller
Secretary
2082072726

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