NPI age
19 years
Enumerated 2007-01-09
● Active Type 2 · Organization
Subpart
Bear Lake County Memorial Hospital
Bear Lake County Memorial Hospital is 1 of 259 home health organizations in Idaho.
Primary specialty
Home Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dawes
Director Of Home Health
Last NPPES update
2015-07-14
Source: monthly bulk 2026-05
How this organization compares
Across 259 active home health providers in Idaho.
NPI age
19 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
164 S 5th St
Montpelier, ID 832541557
Mailing address
164 S 5th St
Montpelier, ID 832541557
Authorized official
Shauna Dawes
Director Of Home Health
📞 2088474454
Individual providers at this organization
13 individual providers on file at this primary practice address.
- Richard Bergman, LSW Social Worker NPI 1386767465
- Justin Brunner, DPT Physical Therapist NPI 1225883192
- Alex Carr, FNP Nurse Practitioner NPI 1013623529
- Bonnie Caywood, RD Dietitian, Registered NPI 1235470196
- William Crane, D.P.T. Physical Therapist NPI 1821482365
- Joseph Dayton Physician Assistant NPI 1184065849
- Gregory Hyde, DPT Physical Therapist NPI 1073376323
- Jacob Lufkin, C.R.N.A. Nurse Anesthetist, Certified Registered NPI 1457741167
- Nicholas Packer, M.D. Obstetrics & Gynecology NPI 1891086377
- Houston Reynolds, MD Family Medicine NPI 1609498336
- Kasey Ward, NP Nurse Practitioner NPI 1609504356
- Lynette Williams, RPH Pharmacist NPI 1548369051
- Julie Wise, MS, LCPC, NCC Counselor NPI 1538225891
Specialties
-
Home Health PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002853200 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Bear Lake County Memorial Home Health
Practice context
Multi-provider organization. 13 individual providers on file at this primary address.
Subpart of Bear Lake County Memorial Hospital.
Provyx · Custom healthcare lists
Need all 259 Home Health providers in Idaho?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.