HERITAGE HOME HEALTH, LLC
NPI 1629319280
Hospice Care, Community Based in Pocatello, ID

NPI Status: Active since March 07, 2013

Contact Information

1009 W QUINN RD
SUITE B
POCATELLO, ID
ZIP 83202
Phone: (208) 238-0088
Fax: (208) 238-0055

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  • Organization
  • Hospice Care, Community Based
  • Accepts Insurance
  • CLIA Number: 13D2170857
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 08-20-2027

About HERITAGE HOME HEALTH, LLC

This page provides the complete NPI Profile along with additional information for Heritage Home Health, Llc, a provider established in Pocatello, Idaho operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1629319280 assigned on March 2013. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated April 2026. The provider's . The authorized official of this NPI record is Jonny Ryan Fisher (Ceo)

NPI
1629319280
Provider Legal Name
HERITAGE HOME HEALTH, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1009 W QUINN RD SUITE B POCATELLO, ID 83202
Location Phone
(208) 238-0088
Location Fax
(208) 238-0055
Mailing Address
1009 W QUINN RD SUITE B POCATELLO, ID 83202
Mailing Phone
(208) 238-0088
Mailing Fax
(208) 238-0055
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-07-2013
Last Update Date
04-24-2026
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According to the Hospice Quality Reporting Program (HQRP) data this facility is for-profit and was certified on 08-12-2013 This facility was recently evaluated on the following quality measures: average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient enrolled in medicare advantage during one year, care provided in assisted living facility and care provided in home, etc.

Location Map

Secondary Locations

  • 788 Eastland Dr Ste A
    Twin Falls, ID 83301
    (208) 410-4040
  • 560 W Sunnyside Rd Ste E
    Idaho Falls, ID 83402
    (208) 980-6342

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JONNY RYAN FISHER

Authorized Official Title
CEO
Authorized Official Phone
(208) 238-0088

Hospice Care Information

The Centers for Medicare and Medicaid Services Hospice Quality Reporting Program (HQRP) data provides information on the quality of care that hospice facilities are providing to their patients. The quality reporting data gives families and patients the information they need to decide which hospice is right for them.

CMS Certification Number (CCN)131568
Ownership TypeFor-Profit
Medicare Certification Date08-12-2013
Quality Measure Measure Score
Average Daily Census
Number of patients cared for by a hospice on average each day
76.0
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year
1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage
Yes
Hospice served at least 1 patient enrolled in Medicare Advantage during one year
1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage
Yes
Care Provided in Assisted Living Facility
Percentage of days patients received care in an assisted living facility
51
Care Provided in Home
Percentage of days patients received care in home
40
Care Provided in Inpatient Hospice Facility
Percentage of days patients received care in an inpatient hospice
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Inpatient Hospital Facility
Percentage of days patients received care in an inpatient hospital
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Nursing Facility
Percentage of days patients received care in a nursing facility
7
Care Provided in All other locations
Percentage of days patients received care in other locations
2
Care Provided in Skilled Nursing Facility
Percentage of days patients received care in a skilled nursing facility
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Hospice and Palliative Care Treatment Preferences
Facility observed rate
100.0
Beliefs & Values Addressed (if desired by the patient)
Facility observed rate
100.0
Hospice and Palliative Care Pain Screening
Facility observed rate
90.1
Hospice and Palliative Care Pain Assessment
Facility observed rate
97.7
Hospice and Palliative Care Dyspnea Screening
Facility observed rate
100.0
Hospice and Palliative Care Dyspnea Treatment
Facility observed rate
91.1
Patient Treated with an Opioid Who Are Given a Bowel Regimen
Facility observed rate
90.2
Hospice and Palliative Care Composite Process Measure
Facility observed rate
84.1
Hospice Visits in the Last Days of Life
336
Hospice Visits in the Last Days of Life
Facility observed rate
64.3
Hospice Care Index Overall Score
Facility observed rate
10.0
CHC/GIP provided (% days)
54,544
CHC/GIP provided (% days)
Facility observed rate
0.0
CHC/GIP provided (% days)
51
Gaps in nursing visits (% elections)
311
Gaps in nursing visits (% elections)
Facility observed rate
31.5
Gaps in nursing visits (% elections)
21
Early live discharges (% live discharges)
66
Early live discharges (% live discharges)
Facility observed rate
1.5
Early live discharges (% live discharges)
21
Late live discharges (% live discharges)
66
Late live discharges (% live discharges)
Facility observed rate
39.4
Late live discharges (% live discharges)
50
Burdensome transitions, Type 1(% live discharges)
66
Burdensome transitions, Type 1 (% live discharges)
Facility observed rate
3.0
Burdensome transitions, Type 1 (% live discharges)
29
Burdensome transitions, Type 2(% live discharges)
66
Burdensome transitions, Type 2 (% live discharges)
Facility observed rate
0.0
Burdensome transitions, Type 2 (% live discharges)
43
Per-beneficiary spending (U.S. dollars $)
520
Per-beneficiary spending (U.S. dollars $)
Facility observed rate
17,432
Per-beneficiary spending (U.S. dollars $)
54
Nurse care minutes per routine home care days (minutes)
54,477
Nurse care minutes per routine home care days (minutes)
Facility observed rate
11.1
Nurse care minutes per routine home care days (minutes)
36
Skilled nursing minutes on weekends (% minutes)
603,390
Skilled nursing minutes on weekends (% minutes)
Facility observed rate
7.0
Skilled nursing minutes on weekends (% minutes)
39
Visits near death (% decedents)
391
Visits near death (% decedents)
Facility observed rate
94.1
Visits near death (% decedents)
56
Percent of Patients with Cancer
Percentage of patients at hospice who had Cancer as their primary diagnosis
13
Percent of Patients with Circulatory/heart disease
Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis
16
Percent of Patients with Dementia
Percentage of patients at hospice who had Dementia as their primary diagnosis
24
Percent of Patients with Other Conditions
Percentage of patients at hospice who had some other conditions as their primary diagnosis
5
Percent of Patients with Respiratory disease
Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis
13
Percent of Patients with Stroke
Percentage of patients at hospice who had Stroke as their primary diagnosis
9
Provided Routine Home Care and other levels of care
Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level
Yes
Provided Routine Home Care only
The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level
No

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D2170857
Facility Type
Hospice
Certificate Effective Date
August 21, 2025
Certificate Expiration Date
August 20, 2027
Laboratory Director
KIMBERLY HYMAS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Heritage Home Health, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1629319280, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 4 + 9 + 6 + 1 + 1 + 8 + 2 + 1 + 6 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1629319280.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Occupational Therapy Assistant
1009 W QUINN RD
POCATELLO, ID 83202
Physical Therapist
1009 W QUINN RD
POCATELLO, ID 83202
General Practice
1009 W QUINN RD
POCATELLO, ID 83202
Home Health
1009 W QUINN RD
POCATELLO, ID 83202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629319280, enumerated as an "organization" on March 07, 2013.

The provider is located at 1009 W QUINN RD SUITE B POCATELLO, ID 83202 and the phone number is (208) 238-0088.

Hospice Care, Community Based with taxonomy code 251G00000X.

The provider might be accepting Accepts: PacificSource Health Plans. Please consult your insurance carrier or call the provider to verify.