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Contact Information

ALLIANCE HOME HEALTH OF IDAHO, LLC
353 N 4TH AVE
SUITE 205
POCATELLO, ID83201-6390
 Phone: 208-478-2291
 Fax: 208-478-1363
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for ALLIANCE HOME HEALTH OF IDAHO, LLC

NPI # 1063587509
LBN Legal business name ALLIANCE HOME HEALTH OF IDAHO, LLC
Authorized official JUSTIN LARSEN - (OWNER, CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/21/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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