Active NPI
Abundant Life Employment Services LLC
- Community Health Worker
- Boise, ID
National Provider Identifier
1003741786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- ABUNDANT LIFE EMPLOYMENT SERVICES LLC
- Practice address
- 9325 W Jewell St
Boise, ID 83704-8237 - Phone
- (208) 912-2956
- Fax
- (208) 912-2956
- NPI assigned
- Jun 15, 2026
- Last updated
- Jun 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy Madenford
- Title
- Owner
- Phone
- (208) 912-2956
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
9325 W Jewell St
Boise, ID 83704-8237
Mailing address
9325 W Jewell St
Boise, ID 83704-8237
Phone (208) 912-2956
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781481600000",
"number": "1003741786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9325 W JEWELL ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837048237",
"telephone_number": "208-912-2956",
"fax_number": "208-912-2956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9325 W JEWELL ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837048237",
"telephone_number": "208-912-2956",
"fax_number": "208-912-2956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABUNDANT LIFE EMPLOYMENT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-15",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A",
"authorized_official_last_name": "MADENFORD",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-912-2956"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.