Healthcare Provider Details

I. General information

NPI: 1063064871
Provider Name (Legal Business Name): A-1 HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2019
Last Update Date: 07/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 W OVERLAND RD
BOISE ID
83709
US

IV. Provider business mailing address

6700 W OVERLAND RD
BOISE ID
83709
US

V. Phone/Fax

Practice location:
  • Phone: 208-377-3113
  • Fax: 208-377-8338
Mailing address:
  • Phone: 208-377-3113
  • Fax: 208-377-8338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MRS. TAMMIE M CASTEEL
Title or Position: CEO/OWNER
Credential:
Phone: 208-377-3113