Healthcare Provider Details

I. General information

NPI: 1558787341
Provider Name (Legal Business Name): ALL CARE HEALTH SOLUTIONS-PCS DIVISIONLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2014
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 S BRIDGE WAY PL SUITE 122
EAGLE ID
83616-6006
US

IV. Provider business mailing address

1759 S MILLENIUM WAY
MERIDIAN ID
83642-1511
US

V. Phone/Fax

Practice location:
  • Phone: 208-371-6364
  • Fax: 208-344-3502
Mailing address:
  • Phone: 208-947-4020
  • Fax: 208-295-8966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER FLOWERS
Title or Position: ADMINISTRATOR
Credential:
Phone: 208-947-4020