Provider Demographics
NPI:1528225729
Name:ADVANCED HOME HEALTH & STAFFING INC.
Entity Type:Organization
Organization Name:ADVANCED HOME HEALTH & STAFFING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAHM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-468-0140
Mailing Address - Street 1:321 2ND STREET SO.
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NAMPA
Mailing Address - State:IDAHO
Mailing Address - Zip Code:83651
Mailing Address - Country:UM
Mailing Address - Phone:208-468-0140
Mailing Address - Fax:208-466-0580
Practice Address - Street 1:8030 W EMERALD ST
Practice Address - Street 2:SUITE 185
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-9060
Practice Address - Country:US
Practice Address - Phone:208-321-7896
Practice Address - Fax:208-321-8065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID806183300Medicaid