Provider Demographics
NPI:1760041263
Name:IN HOME CARE FOR YOU LLC
Entity type:Organization
Organization Name:IN HOME CARE FOR YOU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOLEEN
Authorized Official - Middle Name:MICHELLIE
Authorized Official - Last Name:TIETZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-596-7272
Mailing Address - Street 1:PO BOX 92
Mailing Address - Street 2:
Mailing Address - City:DEARY
Mailing Address - State:ID
Mailing Address - Zip Code:83823
Mailing Address - Country:US
Mailing Address - Phone:883-509-4663
Mailing Address - Fax:
Practice Address - Street 1:609 MAIN STREET
Practice Address - Street 2:
Practice Address - City:DEARY
Practice Address - State:ID
Practice Address - Zip Code:83823
Practice Address - Country:US
Practice Address - Phone:208-596-7272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-08
Last Update Date:2019-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No174200000XOther Service ProvidersMeals
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251K00000XAgenciesPublic Health or Welfare
No305S00000XManaged Care OrganizationsPoint of Service
No347C00000XTransportation ServicesPrivate Vehicle
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child