Select Concierge Corp.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

SELECT CONCIERGE CORP.

Practice address

1655 W Fairview Ave Ste 202
Boise, ID 83702-5190

Phone

(208) 352-0048

Fax

(208) 392-1229

NPI assigned

Jun 1, 2017

Organization subpart

No

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

Authorized official

Name

Monica Forbes

Title

Ceo

Phone

(208) 352-0048

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496275200000",
    "number": "1174051262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 E EASTGATE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837165635",
            "telephone_number": "208-352-0048",
            "fax_number": "208-392-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 W FAIRVIEW AVE STE 202",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025190",
            "telephone_number": "208-352-0048",
            "fax_number": "208-392-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT CONCIERGE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A",
        "authorized_official_last_name": "FORBES",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-352-0048"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Charlotte Duininck Segura, FNP-C, L.AC.
• Jessica Gates Seick, NP
• Joseph Seiders, LCSW
• Charissa Seituah
• Blaze Sekovski, MD
• Lylena Marie Self, LCSW
• Donna J. Selle, L.AC.
• Hailey Sellek
• Jenna Hoffman Sellers, AU.D.
• Lisa Semmler, LMFT

• In Home Supportive Care Agency in Boise, ID
• Providers in Boise, 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 Jun 1, 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.