Active NPI
Case Managers of Idaho, LLC
- Case Management Agency
- Boise, ID
National Provider Identifier
1194115378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- CASE MANAGERS OF IDAHO, LLC
- Practice address
- 1111 S Orchard St
Suite #157
Boise, ID 83705-1966 - Phone
- (208) 982-7701
- Fax
- (208) 209-7186
- NPI assigned
- Jan 27, 2015
- Last updated
- Feb 12, 2016
- 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
- Mr. Patrick Timothy Kirk, B.A.
- Title
- President
- Phone
- (208) 982-7701
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | ID | Primary |
Addresses
Primary practice location
1111 S Orchard St
Suite #157
Boise, ID 83705-1966
Mailing address
1111 S Orchard St
Suite #157
Boise, ID 83705-1966
Phone (208) 982-7701
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Community/Behavioral Health Agency
- Boise, ID
- NPI 1770941197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455235200000",
"number": "1194115378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 S ORCHARD ST",
"address_2": "SUITE #157",
"city": "BOISE",
"state": "ID",
"postal_code": "837051966",
"telephone_number": "208-982-7701",
"fax_number": "208-209-7186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 S ORCHARD ST",
"address_2": "SUITE #157",
"city": "BOISE",
"state": "ID",
"postal_code": "837051966",
"telephone_number": "208-982-7701",
"fax_number": "208-209-7186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASE MANAGERS OF IDAHO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-27",
"last_updated": "2016-02-12",
"status": "A",
"authorized_official_last_name": "KIRK",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "TIMOTHY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-982-7701",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "B.A."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "ID",
"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 Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.