# CAREGIVING IN HOME LLC.

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

## Provider details

- **NPI number:** 1902651722
- **Authorized official:** PAUL J. PTACK (OWNER/CAREGIVER)
- **Authorized official phone:** (208) 791-4272

## Contact information

- **Practice address:** 1247 FOREST ROAD, WINCHESTER, ID 83555-5009
- **Practice address phone:** (208) 924-9860
- **Mailing address:** 1247 FOREST ROAD, WINCHESTER, ID 83555-5009
- **Mailing address phone:** (208) 924-9860

## Taxonomy

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

## Other

- **Enumeration date:** 04/23/2024
- **Last updated:** 04/23/2024