# 1 A AUTUMN CREEK IN HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Autumn Creek In Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780568915
- **Authorized official:** TAMI CHUGG (OFFICE MANAGER)
- **Authorized official phone:** (208) 409-0164

## Contact information

- **Practice address:** 246 MAIN ST, GOODING, ID 83330-1104
- **Practice address phone:** (208) 358-4772
- **Mailing address:** PO BOX 113, SMITHFIELD, UT 84335-0113
- **Mailing address phone:** (208) 358-4772

## Taxonomy

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

## Other

- **Enumeration date:** 08/01/2025
- **Last updated:** 10/09/2026