Healthcare Provider Details

I. General information

NPI: 1790584522
Provider Name (Legal Business Name): IN-HOME CARE SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2025
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1028 NIXON AVE
IDAHO FALLS ID
83404-5655
US

IV. Provider business mailing address

1028 NIXON AVE
IDAHO FALLS ID
83404-5655
US

V. Phone/Fax

Practice location:
  • Phone: 208-313-8162
  • Fax:
Mailing address:
  • Phone: 208-313-8162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY STEPHENS
Title or Position: OWNER/CAREGIVER
Credential:
Phone: 208-313-8162