Provider Demographics
NPI:1225163462
Name:ASSISTED HOMECARE
Entity Type:Organization
Organization Name:ASSISTED HOMECARE
Other - Org Name:ADA-CAN CASE MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:THAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-466-3196
Mailing Address - Street 1:324 CALDWELL BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83651-8409
Mailing Address - Country:US
Mailing Address - Phone:208-463-0008
Mailing Address - Fax:208-468-0510
Practice Address - Street 1:324 CALDWELL BLVD STE B
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-8409
Practice Address - Country:US
Practice Address - Phone:208-463-0008
Practice Address - Fax:208-468-0510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management