OrganizationActive
Clark Fork Healthcare, LLC
NPI 1457092058 · Home Health Agency · Eagle, ID
Clark Fork Healthcare, LLC is a Home Health Agency organization in Eagle, ID (NPI 1457092058).
Provider details
- NPI number
- 1457092058
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Lee Johnson, Treasurer(208) 401-1369
Specialties & taxonomies
Agencies
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1675 E Riverside Dr Ste 200
Eagle, ID 83616-7473
Phone: (208) 401-1400
Street-level locationGet directions
Mailing address
1675 E Riverside Dr Ste 200
Eagle, ID 83616-7473
Registry dates
- Enumerated
- 2022-04-06
- Last updated
- 2022-04-06
- Certified
- 2022-03-24
Frequently asked questions
- What is Clark Fork Healthcare, LLC's NPI number?
- Clark Fork Healthcare, LLC's National Provider Identifier (NPI) is 1457092058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clark Fork Healthcare, LLC?
- Clark Fork Healthcare, LLC is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Clark Fork Healthcare, LLC located?
- Clark Fork Healthcare, LLC's practice location on file with NPPES is 1675 E Riverside Dr Ste 200, Eagle, ID 83616-7473.
- What is Clark Fork Healthcare, LLC's phone number?
- The practice phone number listed in the NPPES registry for Clark Fork Healthcare, LLC is (208) 401-1400.
- Who is the authorized official for Clark Fork Healthcare, LLC?
- The authorized official listed on Clark Fork Healthcare, LLC's NPPES record is Lee Johnson, Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clark Fork Healthcare, LLC's NPI active?
- Yes — Clark Fork Healthcare, LLC's NPI (1457092058) is active in the NPPES registry as of the last update on 2022-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.