# NORTH IDAHO HOME HEALTH

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

## Provider details

- **NPI number:** 1598768483
- **Authorized official:** MR. RICHARD V MCKERNAN (ADMINISTRATOR)
- **Authorized official phone:** (208) 667-7494

## Contact information

- **Practice address:** 2426 N MERRIT CREEK LOOP, COEUR D ALENE, ID 83814-4961
- **Practice address phone:** (208) 667-7494
- **Practice address fax:** (208) 765-2236
- **Mailing address:** 2426 N MERRIT CREEK LOOP, COEUR D ALENE, ID 83814-4961
- **Mailing address phone:** (208) 667-7494
- **Mailing address fax:** (208) 765-2236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HH159 | ID | Yes |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 08/22/2020
