Active NPI
Avery's House LLC
- Psychiatric Residential Treatment Facility
- Boise, ID
National Provider Identifier
1083302822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- AVERY'S HOUSE LLC
- Practice address
- 10787 W Ustick Rd
Boise, ID 83713-5104 - Phone
- (203) 200-8556
- NPI assigned
- Apr 28, 2023
- Last updated
- Dec 11, 2025
- 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
- Andrea Stiner
- Title
- Biling Director
- Phone
- (602) 694-9643
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | Primary |
Addresses
Primary practice location
10787 W Ustick Rd
Boise, ID 83713-5104
Mailing address
11445 E Via Linda Ste 2-617
Scottsdale, AZ 85259-2655
Phone (602) 694-9643
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2284648 | Avery's House | Certificate of waiver | Jun 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Avery's House LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adolescent and Children Mental Health Clinic/Center
- Meridian, ID
- NPI 1073487260
-
- Psychiatric Residential Treatment Facility
- Apache Junction, AZ
- NPI 1437894904
-
- Adolescent and Children Mental Health Clinic/Center
- Scottsdale, AZ
- NPI 1841911526
-
- Mental Illness Community Based Residential Treatment Facility
- Fountain Hills, AZ
- NPI 1063116127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765411200000",
"number": "1083302822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11445 E VIA LINDA STE 2-617",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852592655",
"telephone_number": "602-694-9643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10787 W USTICK RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837135104",
"telephone_number": "203-200-8556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVERY'S HOUSE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-28",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A",
"authorized_official_last_name": "STINER",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "BILING DIRECTOR",
"authorized_official_telephone_number": "602-694-9643"
},
"taxonomies": [
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": true
}
],
"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 Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.