Organization · NPI-2

Allegiant Idaho, LLC

In Home Supportive Care · Nampa, ID

NPI number1285400713
StatusActive
Last updated in NPPESApr 8, 2025

Details

NPI
1285400713
Entity type
Organization (NPI-2)
Legal business name
Allegiant Idaho, LLC
Organization subpart
No
Enumeration date
Nov 27, 2023
Certification date
Apr 8, 2025
Last updated
Apr 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
251E00000X Home Health––
372500000X Chore Provider––
372600000X Adult Companion––
376J00000X Homemaker––

Practice location

210 12th Ave Rd
Nampa, ID 83686-5013

Phone 208-466-0987 · Fax 208-466-0985

Mailing address

119 S Valley Dr # 114
Nampa, ID 83686-2974

Phone 208-466-0987 · Fax 208-466-0985

Authorized official

Tracy Louise Berry
Executive Director
2084660987

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