Abundant Life Employment Services LLC

Organization Active NPI Community Health Worker · Boise, ID

NPI 1003741786 · NPPES record last updated Jun 15, 2026

Key facts

NPI
1003741786
Entity type
Organization (NPI type 2)
Primary specialty
Community Health Worker 172V00000X
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
Organization subpart
No

Authorized official

Name
Tracy Madenford
Title
Owner
Phone
(208) 912-2956

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker
Group: 193400000X SINGLE SPECIALTY GROUP
172V00000X Yes

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

Other providers in Boise, ID

All providers in Boise, ID · Community Health Worker in Idaho

Sources for this page

Verify at the official NPI Registry.