Organization Active NPI

LV Russell Home Care LLC

Doing business as ComforCare Home Care Idaho West

  • In Home Supportive Care Agency
  • Coeur d'Alene, ID
National Provider Identifier
1336932656
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LV RUSSELL HOME CARE LLC
Doing business as
ComforCare Home Care Idaho West
Practice address
2187 N Main St
Coeur D Alene, ID 83814-5768
Phone
(208) 714-7024
NPI assigned
May 28, 2025
Last updated
Aug 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Larissa Renee Vallejo Russell
Title
Owner/ Director of Operations
Phone
(208) 714-7024

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

2187 N Main St
Coeur D Alene, ID 83814-5768

Mailing address

2187 N Main St
Coeur D Alene, ID 83814-5768
Phone (208) 714-7024

Other names 1

  • ComforCare Home Care Idaho West Doing business as

National Provider Directory

National Provider Directory

Locations

2187 N Main St
Coeur D Alene, ID 83814
Phone (208) 714-7024

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1336932656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2187 N MAIN ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145768",
            "telephone_number": "208-714-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2187 N MAIN ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145768",
            "telephone_number": "208-714-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LV RUSSELL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "VALLEJO RUSSELL",
        "authorized_official_first_name": "LARISSA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/ DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "208-714-7024",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComforCare Home Care Idaho West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ComforCare Home Care Idaho West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.