Provider Demographics
NPI:1457802860
Name:AHC HOME HEALTH OF COEUR D ALENE LLC
Entity type:Organization
Organization Name:AHC HOME HEALTH OF COEUR D ALENE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FOREST
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-859-0067
Mailing Address - Street 1:1450 NORTHWEST BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-5605
Mailing Address - Country:US
Mailing Address - Phone:208-769-0500
Mailing Address - Fax:
Practice Address - Street 1:1578 W RIVERSTONE DR
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-5760
Practice Address - Country:US
Practice Address - Phone:208-769-0500
Practice Address - Fax:208-769-0515
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LHM MAN HHH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-20
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based