# HOMESTEAD HOMECARE

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

## Provider details

- **NPI number:** 1629930128
- **Authorized official:** BAKER HAZE ELIASON (OPERATIONS DIRECTOR)
- **Authorized official phone:** (623) 258-2848

## Contact information

- **Practice address:** 408 W MAIN ST, REXBURG, ID 83440-1874
- **Practice address phone:** (208) 356-5656
- **Practice address fax:** (208) 534-7450
- **Mailing address:** 408 W MAIN ST, REXBURG, ID 83440-1874
- **Mailing address phone:** (208) 356-5656
- **Mailing address fax:** (208) 534-7450

## Taxonomy

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

## Other

- **Enumeration date:** 12/02/2025
- **Last updated:** 12/02/2025