Organization
GUARDIAN HOME CARE, INC.
Active
Parent organization
ENHABIT, INC.
Other names
Enhabit Home Health of Idaho
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENHABIT, INC.
Authorized official
JULIE DIANE JOLLEY (EVP OF HOME HEALTH OPERATIONS)
(214) 239-6500
Entity
Organization
Contact information
Practice address
1411 FALLS AVE E STE 815, TWIN FALLS, ID 83301-3456
(208) 733-8600
(208) 733-9449
Mailing address
6688 N CENTRAL EXPRESSWAY, SUITE 1300, DALLAS, TX 75234-3950
(214) 239-6500
(214) 239-6581
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010015020
REGENCE OF IDAHO
ID
01
—
03483
BLUE CROSS OF IDAHO
ID
01
—
04894
BLUE CROSS
ID
05
—
805079200
—
ID
Enumeration date
10/10/2005
Last updated
12/31/2024
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