Provider Demographics
NPI:1922627173
Name:HW GROUP LLC
Entity Type:Organization
Organization Name:HW GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:MICHEAL
Authorized Official - Last Name:BECKSTEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-529-2734
Mailing Address - Street 1:1970 E 17TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83404-8048
Mailing Address - Country:US
Mailing Address - Phone:208-529-2734
Mailing Address - Fax:208-529-2833
Practice Address - Street 1:1970 E 17TH ST STE 201
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83404-8048
Practice Address - Country:US
Practice Address - Phone:208-529-2734
Practice Address - Fax:208-529-2833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-08
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health