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CREST HOME HEALTH AND HOSPICE, LLC
NPI 1194722405
Home Health in Coeur D Alene, ID

Active since June 30, 2005CLIA 13D2053996 · Waiver
700 W IRONWOOD DR, STE 255, COEUR D ALENE, ID 83814(208) 765-4343(208) 667-0494 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 18, 2022, May 10, 2016, Feb 1, 2016 and 4 more (7 updates tracked since 2015).

About Crest Home Health And Hospice, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREST HOME HEALTH AND HOSPICE, LLC (NPI 1194722405) is a healthcare organization registered as a home health in Coeur D Alene, Idaho and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through February 11, 2027 and lists Troy K Thompson, Board President, as its authorized official.

NPPES Registry Identity

NPI1194722405
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCREST HOME HEALTH AND HOSPICE, LLC
Location Address700 W IRONWOOD DR, STE 255Coeur D Alene, ID 83814-2656
Mailing Address598 W 900 S Ste 220Woods Cross, UT 84010-8195 · (801) 397-4697 · Fax (801) 296-9117
Phone(208) 765-4343
Fax(208) 667-0494
Organization SubpartNo
Authorized OfficialTroy K ThompsonBoard President · (801) 397-4100
Enumeration DateJune 30, 2005
Last NPPES UpdateJanuary 18, 20227 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2022
✔ NPI 1194722405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in ID · HH124
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
700 W IRONWOOD DR, Coeur D Alene, ID 83814
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Other Identifiers 1

Medicaid002737100ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2053996

Crest Home Health & Hospice LLC · Coeur D'alene, ID
Active · expires Feb 11, 2027
CLIA Number13D2053996
Laboratory TypeHome Health Agency
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateFebruary 11, 2027
Laboratory DirectorBonnie Eggert
Laboratory Phone(801) 397-4697
Laboratory LocationCrest Home Health & Hospice LLC2100 Northwest Boulevard Ste 120, Coeur D'alene, ID 83814
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS R RAU MD
Pediatrics
700 W IRONWOOD DR, SUITE 155
COEUR D ALENE, ID 83814
Kootenai County (208) 667-0585
DR. ROBERT C. FARR M.D.
Otolaryngology
700 W IRONWOOD DR, STE 236
COEUR D ALENE, ID 83814
Kootenai County (208) 765-1345
JAMIE LEE PARK PHARM.D.
Pharmacist
700 W IRONWOOD DR
COEUR D ALENE, ID 83814
Kootenai County (208) 625-5688
MANDI NORDHAGEN
Pharmacist (Ambulatory Care)
700 W IRONWOOD DR, SUITE 228
COEUR D ALENE, ID 83814
Kootenai County (208) 625-5670
TERENCE EARL NEFF MD
Pediatrics
700 W IRONWOOD DR, SUITE 155
COEUR D ALENE, ID 83814
Kootenai County (208) 667-0585
KOOTENAI AUDIOLOGY, LLC
Audiologist (Assistive Technology Supplier)
700 W IRONWOOD DR, SUITE 236
COEUR D ALENE, ID 83814
Kootenai County (208) 765-1345
KOOTENAI HEALTH, INC.
Pharmacy (Clinic Pharmacy)
700 W IRONWOOD DR
COEUR D ALENE, ID 83814
Kootenai County (208) 625-5670
SPOKANE RADIATION ONCOLOGY ASSOCIATES P S
Radiology (Radiation Oncology)
700 W IRONWOOD DR
COEUR D ALENE, ID 83814
Kootenai County (208) 666-3800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crest Home Health And Hospice, LLC's NPI number?

The NPI number for Crest Home Health And Hospice, LLC is 1194722405. It was assigned to this organization in the NPPES registry on June 30, 2005.

Where is Crest Home Health And Hospice, LLC located?

Crest Home Health And Hospice, LLC is located at 700 W Ironwood Dr Ste 255, Coeur D Alene, ID 83814. The listed phone number is (208) 765-4343.

What is Crest Home Health And Hospice, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Crest Home Health And Hospice, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2053996) is associated with this NPI, valid through February 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crest Home Health And Hospice, LLC accept?

Health plans from PacificSource Health Plans list Crest Home Health And Hospice, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crest Home Health And Hospice, LLC was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.