Provider Demographics
NPI:1568781284
Name:24/7 PROFESSIONAL SOLUTIONS
Entity Type:Organization
Organization Name:24/7 PROFESSIONAL SOLUTIONS
Other - Org Name:24/7 IDAHO HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT CLIENT SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:STROP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-524-3634
Mailing Address - Street 1:13601 W MCMILLAN RD
Mailing Address - Street 2:SUITE 102, PMB 312
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713-2071
Mailing Address - Country:US
Mailing Address - Phone:208-524-3634
Mailing Address - Fax:888-901-2060
Practice Address - Street 1:3650 N ARBORCREST CT
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-1981
Practice Address - Country:US
Practice Address - Phone:208-524-3634
Practice Address - Fax:888-901-2060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID808428101Medicaid
ID808428102Medicaid
ID808428100Medicaid