NPIMap

Organization Active NPI

Boise Group Homes, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Boise, ID
National Provider Identifier
1003955535
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
17 Issued in ID
Legal business name
BOISE GROUP HOMES, INC.
Practice address
8310 Ustick Rd
Boise, ID 83704-5757
Phone
(208) 376-1861
Fax
(208) 376-1869
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard Davis
Title
Administrator
Phone
(208) 376-1861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 17 ID Primary

Addresses

Primary practice location

8310 Ustick Rd
Boise, ID 83704-5757

Mailing address

PO Box 4243
Boise, ID 83711-4243

Other identifiers 1

IdentifierTypeStateIssuer
002492800MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
Boise Group Homes Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1003955535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4243",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837114243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 USTICK RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045757",
            "telephone_number": "208-376-1861",
            "fax_number": "208-376-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOISE GROUP HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-376-1861"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "ID",
            "license": "17",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002492800",
            "state": "ID"
        }
    ],
    "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 Apr 29, 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.

Verify at the official NPI Registry.