Active NPI
Lifes Doors Hospice Inc
- Community Based Hospice Care Agency
- Boise, ID
National Provider Identifier
1023086493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- LIFES DOORS HOSPICE INC
- Practice address
- 420 S Orchard
Boise, ID 83705-0754 - Phone
- (208) 344-6500
- Fax
- (208) 344-6590
- NPI assigned
- Mar 10, 2006
- 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
- Mary L Langenfeld, PHD
- Title
- Ceo
- Phone
- (208) 344-6500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
420 S Orchard
Boise, ID 83705-0754
Mailing address
PO Box 5754
420 S Orchard
Boise, ID 83705-0754
Phone (208) 344-6500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H0143 | Other | ID | BC |
| 000010014564 | Other | ID | BS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023086493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5754",
"address_2": "420 S ORCHARD",
"city": "BOISE",
"state": "ID",
"postal_code": "837050754",
"telephone_number": "208-344-6500",
"fax_number": "208-344-6590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 S ORCHARD",
"city": "BOISE",
"state": "ID",
"postal_code": "837050754",
"telephone_number": "208-344-6500",
"fax_number": "208-344-6590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFES DOORS HOSPICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LANGENFELD",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "208-344-6500",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "H0143",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "000010014564",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.