Healthcare Provider Details

I. General information

NPI: 1750207882
Provider Name (Legal Business Name): PARTNERS IN HOME CARE-IDAHO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9840 W OVERLAND RD STE 120
BOISE ID
83709-1275
US

IV. Provider business mailing address

9840 W OVERLAND RD STE 120
BOISE ID
83709-1275
US

V. Phone/Fax

Practice location:
  • Phone: 208-703-4855
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: BRENNA TOMLINSON
Title or Position: CEO
Credential:
Phone: 208-703-4855