OrganizationActiveAccepts Medicare
Lighthouse Hospice LLC
NPI 1477096220 · Community Based Hospice Care Agency · Meridian, ID
Enrolled with Medicare as Part a Provider - Hospice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1477096220
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kellie Stanger, Administrator(208) 576-6383
Specialties & taxonomies
Agencies
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
2667 E Gala Ct Ste 100
Meridian, ID 83642-2792
Phone: (208) 576-6383
Fax: (208) 884-4048
Street-level locationGet directions
Mailing address
2667 E Gala Ct Ste 100
Meridian, ID 83642-2792
Registry dates
- Enumerated
- 2016-11-28
- Last updated
- 2024-05-09
- Certified
- 2024-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.