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
- 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
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 DirectoryNPI 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.