Organization Active NPI

Access Life Resource, Inc.

  • Community/Behavioral Health Agency
  • Boise, ID
National Provider Identifier
1184807190
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ACCESS LIFE RESOURCE, INC.
Practice address
960 Broadway Ave
Suite 435
Boise, ID 83706-3600
Phone
(208) 338-1227
Fax
(208) 338-1228
NPI assigned
Dec 12, 2007
Last updated
Dec 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Ms. Julene B Knapp, LCSWNPI 1952487407
Title
Ceo
Phone
(208) 338-1227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

960 Broadway Ave
Suite 435
Boise, ID 83706-3600

Mailing address

3370 Chickory Way
Boise, ID 83706-5266
Phone (208) 336-2208

National Provider Directory

National Provider Directory

Locations

960 S Broadway Ave
Ste 115
Boise, ID 83706
Phone (208) 338-1227

960 S Broadway Ave
Ste 435
Boise, ID 83706
Phone (208) 338-1227

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1184807190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 CHICKORY WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837065266",
            "telephone_number": "208-336-2208",
            "fax_number": "208-338-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 BROADWAY AVE",
            "address_2": "SUITE 435",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063600",
            "telephone_number": "208-338-1227",
            "fax_number": "208-338-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS LIFE RESOURCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "JULENE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-338-1227",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 12, 2007; 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.