Organization Active NPI

Case Managers of Idaho, LLC

  • Case Management Agency
  • Boise, ID
National Provider Identifier
1194115378
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Directory

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.

Verify at the official NPI Registry.