Camas Home LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

CAMAS HOME LLC

Practice address

11325 W Camas St
Boise, ID 83709-1212

Phone

(208) 488-8050

NPI assigned

Sep 23, 2020

Last updated

Sep 23, 2020By 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

Steve Vinsonhaler

Title

Co-Owner

Phone

(208) 488-8050

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1073120101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11299 W GOLDENSPIRE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837096396",
            "telephone_number": "208-488-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 W CAMAS ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091212",
            "telephone_number": "208-488-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMAS HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "VINSONHALER",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "208-488-8050"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942848502",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Calomeni, MD
• Justine Calzacorta, FNP-C
• Melissa Camara, LMSW
• Desiree Camarena
• Daniel Camargo, DPT
• Lesha Renee Cambra, LCPC
• Cameron Wiemerslage Counseling, LLC
• Elaine Camilleri, MSC CCC SLP
• Nicolas A Camilo, MD
• Kirk A. Campana, M.D.

• Assisted Living Facility (Mental Illness) in Boise, ID
• Providers in Boise, ID by specialty
• Assisted Living Facility (Mental Illness) in Idaho

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

Verify at the official NPI Registry.