Provider Demographics
NPI:1376276030
Name:HOSPICE VISIONS, LLC
Entity Type:Organization
Organization Name:HOSPICE VISIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:TAMALA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:SLATTER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:208-735-0121
Mailing Address - Street 1:455 PARK VIEW LOOP
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-3393
Mailing Address - Country:US
Mailing Address - Phone:208-735-0121
Mailing Address - Fax:208-735-0661
Practice Address - Street 1:455 PARK VIEW LOOP
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-3393
Practice Address - Country:US
Practice Address - Phone:208-735-0121
Practice Address - Fax:208-735-0661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-08
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based