MEDICARE: IDAHO PARTNERS IN CARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333300000X	Emergency Response System Companies
2	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194046367
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IDAHO PARTNERS IN CARE

Provider Business Mailing Address
First Line	:	820 ELM DR
Second Line	:
City	:	ST MARIES
State	:	ID
Zip	:	83861-2119
Country	:	US
Telephone Number	:	208-245-4576
Fax Number	:	208-245-2138

Provider Business Practice Location Address
First Line	:	820 ELM DR
Second Line	:
City	:	ST MARIES
State	:	ID
Zip	:	83861-2119
Country	:	US
Telephone Number	:	208-245-4576
Fax Number	:	208-245-2138

Authorized Official
Title or Position	:	CORPORATE COMPLIANCE
Name	:	KASEY BORGMAN
Credential	:
Telephone Number	:	208-245-4576

Provider Enumeration Date	:	06/22/2010
Last Update Date	:	11/21/2025

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Directions to “IDAHO PARTNERS IN CARE ” Practice Location

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