Provider Demographics
NPI:1073864815
Name:IDAHOINHOMECARE., LLC
Entity Type:Organization
Organization Name:IDAHOINHOMECARE., LLC
Other - Org Name:RIGHT AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCO
Authorized Official - Middle Name:
Authorized Official - Last Name:GELSOMINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-288-2200
Mailing Address - Street 1:845 E FAIRVIEW AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-8048
Mailing Address - Country:US
Mailing Address - Phone:208-288-2200
Mailing Address - Fax:208-288-2299
Practice Address - Street 1:845 E FAIRVIEW AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-8048
Practice Address - Country:US
Practice Address - Phone:208-288-2200
Practice Address - Fax:208-288-2299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-19
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care