# KIDSCARE HOME HEALTH OF IDAHO, LLC

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

## Provider details

- **NPI number:** 1265902332
- **Authorized official:** KELLY KASKAVAGE (DIRECTOR OF COMPLIANCE)
- **Authorized official phone:** (214) 575-2999

## Contact information

- **Practice address:** 1835 WILDWOOD STREET, BOISE, ID 83713
- **Practice address phone:** (866) 919-3240
- **Practice address fax:** (877) 300-7394
- **Mailing address:** 4201 SPRING VALLEY RD STE 600, DALLAS, TX 75244-3631
- **Mailing address phone:** (214) 575-2999
- **Mailing address fax:** (214) 575-2727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/30/2018
- **Last updated:** 12/10/2024