Organization
HOMESTEAD HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAKER HAZE ELIASON (OPERATIONS DIRECTOR)
(623) 258-2848
Entity
Organization
Contact information
Practice address
408 W MAIN ST, REXBURG, ID 83440-1874
(208) 356-5656
(208) 534-7450
Mailing address
408 W MAIN ST, REXBURG, ID 83440-1874
(208) 356-5656
(208) 534-7450
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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