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General NPI Number Information
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NPI Number | 1639969702
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Entity Type | Organization
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Legal Business Name | NORTHERN IDAHO CAREGIVING LLC
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Dates
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Enumeration Date | 05/10/2025
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Last Update Date | 11/09/2025
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Provider Practice Location Address
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Address Line | 784 S CLEARWATER LOOP STE R
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City | POST FALLS
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State | ID
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Zip | 83854-9599
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Country | US
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Telephone | 208-240-6058
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Fax |
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Provider Business Mailing Address
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Address Line | 7533 S CENTER VIEW CT # 5255
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City | WEST JORDAN
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State | UT
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Zip | 84084-5526
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Country | US
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Telephone | 385-479-8559
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TAYLOR REES
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Credential |
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Telephone | 385-479-8559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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