NPIMap

Organization Active NPI

Allegiant Health LLC

Doing business as Allegiant Home Care

  • In Home Supportive Care Agency
  • Nampa, ID
National Provider Identifier
1710410378
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
1740674621 Issued in ID
Legal business name
ALLEGIANT HEALTH LLC
Doing business as
Allegiant Home Care
Practice address
210 12TH Ave Rd
Nampa, ID 83686-5013
Phone
(208) 466-0987
Fax
(208) 466-0985
NPI assigned
Apr 10, 2017
Last updated
Apr 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Nicole Smith
Title
Executive Director
Phone
(208) 466-0987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 1740674621 ID Primary

Addresses

Primary practice location

210 12TH Ave Rd
Nampa, ID 83686-5013

Mailing address

210 12TH Ave Rd
Nampa, ID 83686-5013
Phone (208) 466-0987

Other identifiers 2

IdentifierTypeStateIssuer
1740674621MedicaidID
8Q516 1740674621OtherIDBLUE CROSS

Other names 1

  • Allegiant Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Allegiant Health LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1710410378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865013",
            "telephone_number": "208-466-0987",
            "fax_number": "208-466-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865013",
            "telephone_number": "208-466-0987",
            "fax_number": "208-466-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGIANT HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-466-0987"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "ID",
            "license": "1740674621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740674621",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8Q516 1740674621",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allegiant Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.