Organization Active NPI

Hart & Co Idaho LLC

Doing business as Lifestyle Health & Wellness

  • Primary Care Clinic/Center
  • Boise, ID
National Provider Identifier
1023702099
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HART & CO IDAHO LLC
Doing business as
Lifestyle Health & Wellness
Practice address
1015 W Hays St Ste 105
Boise, ID 83702-5412
Phone
(208) 476-1995
Fax
(208) 227-8612
NPI assigned
Jun 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Jill K Hart, FNP-CNPI 1689065377
Title
Owner
Phone
(208) 476-1995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1015 W Hays St Ste 105
Boise, ID 83702-5412

Mailing address

1015 W Hays St Ste 105
Boise, ID 83702-5412
Phone (208) 476-1995

Other names 1

  • Lifestyle Health & Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1015 W Hays St
Ste 105
Boise, ID 83702
Phone (208) 398-3160

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1023702099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 W HAYS ST STE 105",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025412",
            "telephone_number": "208-476-1995",
            "fax_number": "208-227-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W HAYS ST STE 105",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025412",
            "telephone_number": "208-476-1995",
            "fax_number": "208-227-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HART & CO IDAHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-476-1995",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifestyle Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 5, 2023; 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.