Allegiant Idaho, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

ALLEGIANT IDAHO, 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

Nov 28, 2023

Last updated

Apr 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tracy Berry

Title

Executive Director

Phone

(208) 466-0987

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Allegiant Home Care Doing business as

Tax ID family

Allegiant Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Allegiant Idaho, LLC

  • In Home Supportive Care Agency
  • Nampa, ID
  • NPI 1285400713
  NPD tax ID

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1821864125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S VALLEY DR # 114",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836862974",
            "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 IDAHO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-466-0987",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251J00000X",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allegiant Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Allegiant Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• All Valley Home Care Inc
• Allegiant Health LLC
• Allegiant Health LLC (Allegiant Home Care)
• Allegiant Health LLC
• Allegiant Idaho, LLC
• Emily Anne Allen, M.S., LPC, LSW
• Jared Allen
• Joshua Jack Allen
• Nathan Ira Allen, P.T.
• Victor F Allen, R.PH.

• Nursing Care Agency in Nampa, ID
• Providers in Nampa, ID by specialty
• Nursing Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.