MEDICARE: A-1 HOME HEALTH CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	372500000X	Chore Provider
3	374U00000X	Home Health Aide
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1063064871
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A-1 HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	6700 W OVERLAND RD
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83709
Country	:	US
Telephone Number	:	208-377-3113
Fax Number	:	208-377-8338

Provider Business Practice Location Address
First Line	:	6700 W OVERLAND RD
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83709
Country	:	US
Telephone Number	:	208-377-3113
Fax Number	:	208-377-8338

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MRS. TAMMIE M CASTEEL
Credential	:
Telephone Number	:	208-377-3113

Provider Enumeration Date	:	07/11/2019
Last Update Date	:	07/11/2019

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