NPI 1285400713
Allegiant Idaho, LLC
Practice location
- Address
- 210 12th Ave Rd, Nampa, ID 83686-5013
- Phone
- (208) 466-0987
- Fax
- (208) 466-0985
- Mailing address
- 119 S Valley Dr # 114, Nampa, ID 83686-2974
Authorised official
- Name
- Tracy Louise Berry
- Title
- Executive Director
- Phone
- (208) 466-0987
Registered specialties (5)
In Home Supportive Care Agency
Primary
Home Health Agency
Chore Provider
Adult Companion
Homemaker
Registry record
- NPI
- 1285400713
- Entity type
- Organization
- NPI issued
- 27 Nov 2023
- Record last updated
- 8 Apr 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.