# BOISE ID HOMECARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033656533
- **Authorized official:** MICHAEL HILLMAN (PRESIDENT)
- **Authorized official phone:** (254) 913-7780

## Contact information

- **Practice address:** 36 E PINE AVE, MERIDIAN, ID 83642-2329
- **Practice address phone:** (254) 913-7780
- **Mailing address:** 815 LAKE AIR DR, WACO, TX 76710-5756
- **Mailing address phone:** (254) 913-7780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | ID | Yes |

## Other

- **Enumeration date:** 01/23/2017
- **Last updated:** 01/23/2017