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Contact Information

ALLEGIANT IDAHO, LLC
210 12TH AVE RD
NAMPA, ID83686-5013
 Phone: 208-466-0987
 Fax: 208-466-0985
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Adult Companion

372600000X
 

Chore Provider

372500000X
 

Home Health

251E00000X A4[11] Home Health Agency
 

Homemaker

376J00000X
Indicates primary specialty

NPI Profile & details for ALLEGIANT IDAHO, LLC

NPI Number 1285400713
LBN Legal business name ALLEGIANT IDAHO, LLC
Authorized official TRACY BERRY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/27/2023
Last updated 04/08/2025 - More than a year 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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