# LV RUSSELL HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ComforCare Home Care Idaho West
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336932656
- **Authorized official:** MRS. LARISSA RENEE VALLEJO RUSSELL (OWNER/ DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (208) 714-7024

## Contact information

- **Practice address:** 2187 N MAIN ST, COEUR D ALENE, ID 83814-5768
- **Practice address phone:** (208) 714-7024
- **Mailing address:** 2187 N MAIN ST, COEUR D ALENE, ID 83814-5768
- **Mailing address phone:** (208) 714-7024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 05/28/2025
- **Last updated:** 08/19/2025