Provider Demographics
NPI:1578837639
Name:HOME HELPERS
Entity Type:Organization
Organization Name:HOME HELPERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-322-2668
Mailing Address - Street 1:3355 N FIVE MILE RD # 154
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713-3925
Mailing Address - Country:US
Mailing Address - Phone:208-322-2668
Mailing Address - Fax:
Practice Address - Street 1:9458 W FAIRVIEW AVE STE E
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-9753
Practice Address - Country:US
Practice Address - Phone:208-322-2668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care