MEDICARE: IN-HOME CARE SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	385H00000X	Respite Care
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1790584522
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN-HOME CARE SOLUTIONS

Provider Business Mailing Address
First Line	:	1028 NIXON AVE
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83404-5655
Country	:	US
Telephone Number	:	208-313-8162
Fax Number	:

Provider Business Practice Location Address
First Line	:	1028 NIXON AVE
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83404-5655
Country	:	US
Telephone Number	:	208-313-8162
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CAREGIVER
Name	:	BRITTANY STEPHENS
Credential	:
Telephone Number	:	208-313-8162

Provider Enumeration Date	:	03/12/2025
Last Update Date	:	03/13/2025

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