Boise Id Homecare

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BOISE ID HOMECARE

Practice address

36 E Pine Ave
Meridian, ID 83642-2329

Phone

(254) 913-7780

NPI assigned

Jan 23, 2017

Last updated

Jan 23, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Hillman

Title

President

Phone

(254) 913-7780

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1033656533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 LAKE AIR DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105756",
            "telephone_number": "254-913-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 E PINE AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422329",
            "telephone_number": "254-913-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOISE ID HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "HILLMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-913-7780"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boise Dermatology
• Boise Dialysis LLC
• Boise Endoscopy Center, LLC (10 Mile Endoscopy Center)
• Boise Endoscopy Center, LLC (dba Meridian Endoscopy Center)
• Boise Id Caregiving LLC
• Boise Imaging Solutions LLC (Pacific Mobile Diagnostics)
• Boise Imaging Solutions LLC (Pacific Mobile Diagnostics)
• Boise Intensive Care Hospital Inc (Complex Care Hosptial of Idaho)
• Boise Intensive Care Hospital, Inc. (Complex Care Hospital of Idaho)
• Boise Kidney & Hypertension PLLC

• In Home Supportive Care Agency in Meridian, ID
• Providers in Meridian, ID by specialty
• In Home Supportive Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.