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General NPI Number Information
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NPI Number | 1992229942
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Entity Type | Organization
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Legal Business Name | A COMPASSIONATE IN-HOME CARE LLC
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 411 W HAYCRAFT AVE STE B1
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City | COEUR D ALENE
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State | ID
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Zip | 83815-8104
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Country | US
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Telephone | 208-930-1871
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Fax |
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Provider Business Mailing Address
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Address Line | 411 W HAYCRAFT AVE STE B1
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City | COEUR D ALENE
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State | ID
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Zip | 83815-8104
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Country | US
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Telephone | 89-301-8712
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Fax | 208-930-1877
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Authorized Official
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Title or Position | EXECUTIVE ADMINISTRATOR-BOOKKEEPER
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Name | TARA J MCAVOY
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Credential |
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Telephone | 208-518-7311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #2
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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 | ID
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