NPI age
2 years
Enumerated 2023-11-28
● Active Type 2 · Organization
Allegiant Idaho, Llc
Allegiant Idaho, Llc is 1 of 55 nursing care organizations in Idaho.
Primary specialty
Nursing Care
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Berry
Executive Director
Last NPPES update
2025-04-08
Source: monthly bulk 2026-05
How this organization compares
Across 55 active nursing care providers in Idaho.
NPI age
2 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-11Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
210 12th Ave Rd
Nampa, ID 836865013
Mailing address
119 S Valley Dr # 114
Nampa, ID 836862974
Authorized official
Tracy Berry
Executive Director
📞 2084660987
Specialties
-
Nursing Care PrimaryA Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 251J00000X |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Allegiant Home Care
-
Allegiant Home Care
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.