OrganizationActive
3 and 1, LLC
NPI 1871055152 · In Home Supportive Care Agency · Coeur D Alene, ID
Provider details
- NPI number
- 1871055152
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Matt Zastrow, Part Owner(208) 758-8090
Specialties & taxonomies
Agencies
Practice location
1900 Northwest Blvd Ste 110
Coeur D Alene, ID 83814-2788
Phone: (208) 758-8090
Fax: (208) 214-3222
Approximate (ZIP-level) locationGet directions
Mailing address
1900 Northwest Blvd Ste 110
Coeur D Alene, ID 83814-2788
Other names (DBA / former)
- Doing business as
- Firstlight Home Care
- Doing business as
- Firstlight Home Care
Registry dates
- Enumerated
- 2019-04-04
- Last updated
- 2022-05-26
- Certified
- 2022-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.