Allegiant Idaho, LLC
Organization Active NPI In Home Supportive Care Agency · Nampa, ID
NPI 1285400713 · NPPES record last updated Apr 8, 2025
Key facts
- NPI
- 1285400713
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- ALLEGIANT IDAHO, LLC
- Practice address
- 210 12TH Ave Rd
Nampa, ID 83686-5013 - Phone
- (208) 466-0987
- Fax
- (208) 466-0985
- NPI assigned
- Nov 27, 2023
- Organization subpart
- No
Authorized official
- Name
- Mrs. Tracy Louise Berry
- Title
- Executive Director
- Phone
- (208) 466-0987
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Allegiant Home Care
Locations
119 S Valley Dr
#114
Nampa, ID 83686
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Yes | ||
| Chore Provider |
372500000X | |||
| Adult Companion |
372600000X | |||
| Homemaker |
376J00000X |
Addresses
Primary practice location
210 12TH Ave Rd
Nampa, ID 83686-5013
Mailing address
119 S Valley Dr # 114
Nampa, ID 83686-2974
Phone (208) 466-0987
Other providers in Nampa, ID
- All Heart Transportation LLC
- All Valley Home Care Inc
- Allegiant Health LLC
- Allegiant Health LLC
- Allegiant Health LLC
- Allegiant Idaho, LLC
- Emily Anne Allen
- Jared Allen
- Joshua Jack Allen
- Nathan Ira Allen
All providers in Nampa, ID · In Home Supportive Care Agency in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.