NPIMap

Organization Active NPI

Lifepath Supports Inc

  • Clinic/Center
  • Boise, ID
National Provider Identifier
1164899951
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LIFEPATH SUPPORTS INC
Practice address
10112 W Overland Rd
Boise, ID 83709-1428
Phone
(208) 780-3902
NPI assigned
Aug 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Tiffaney Giles, BA
Title
Payee Provider
Phone
(208) 780-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

10112 W Overland Rd
Boise, ID 83709-1428

Mailing address

10112 W Overland Rd
Boise, ID 83709-1428
Phone (208) 780-3900

National Provider Directory

National Provider Directory
Tax ID family
Lifepath Supports Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1164899951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10112 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091428",
            "telephone_number": "208-780-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10112 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091428",
            "telephone_number": "208-780-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPATH SUPPORTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "TIFFANEY",
        "authorized_official_title_or_position": "PAYEE PROVIDER",
        "authorized_official_telephone_number": "208-780-3900",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Jul 21, 2022; 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.