NPIMap

Organization Active NPI

Adolpho Enterprise LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boise, ID
National Provider Identifier
1063340586
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ADOLPHO ENTERPRISE LLC.
Practice address
3649 N Lakeharbor LN
Boise, ID 83703-6913
Phone
(208) 991-4296
NPI assigned
May 13, 2026
Last updated
May 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Rick Adolpho
Title
Co-Owner
Phone
(208) 991-4296

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

3649 N Lakeharbor LN
Boise, ID 83703-6913

Mailing address

3649 N Lakeharbor LN
Boise, ID 83703-6913

Other practice location 1

411 W 7200 S Ste 104
Midvale, UT 84047-1014
Phone (385) 404-4296

National Provider Directory

National Provider Directory

Locations

411 W 7200 S
Ste 104
Midvale, UT 84047
Phone (385) 404-4296

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1063340586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 N LAKEHARBOR LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837036913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3649 N LAKEHARBOR LN",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837036913",
            "telephone_number": "208-991-4296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 W 7200 S Ste 104",
            "address_purpose": "LOCATION",
            "city": "Midvale",
            "state": "UT",
            "postal_code": "840471014",
            "country_code": "US",
            "telephone_number": "385-404-4296",
            "fax_number": "385-404-4296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADOLPHO ENTERPRISE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "ADOLPHO",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "208-991-4296"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 May 13, 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.