Organization Active NPI

Aleracare of Idaho, Inc

  • Multi-Specialty Clinic/Center
  • Meridian, ID
National Provider Identifier
1255935581
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ALERACARE OF IDAHO, INC
Practice address
3015 E Goldstone Dr Ste 130
Meridian, ID 83642-1224
Phone
(888) 209-8874
NPI assigned
Nov 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Scott Friedman
Title
Executive VP
Phone
(888) 209-8874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3015 E Goldstone Dr Ste 130
Meridian, ID 83642-1224

Mailing address

5350 E High St Ste 300
Phoenix, AZ 85054-5561
Phone (888) 209-8874

Other practice location 1

5975 W Overland Rd
Boise, ID 83709-3012
Phone (208) 488-4998

Other practice location 2

3423 Merlin Dr
Idaho Falls, ID 83404-7430
Phone (208) 217-9099

Other practice location 3

11118 Moss Ln
Nampa, ID 83651-8015
Phone (208) 563-5910

Other practice location 4

1750 W McMillan Rd Ste 120
Meridian, ID 83646-6891
Phone (208) 900-4480

Other practice location 5

916 W Ironwood Dr Ste Ul1
Coeur D Alene, ID 83814-2642
Phone (208) 577-5380

Other practice location 6

1411 Falls Ave E Ste 1151A
Twin Falls, ID 83301-3455
Phone (208) 543-7995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210419001713 ID Part B Supplier - Clinic/Group Practice 9133532526 Receives reassigned benefits from 18 practitioners
Practice locations: Coeur D Alene, ID; Idaho Falls, ID; Meridian, ID; Nampa, ID; Twin Falls, ID; Boise, ID

National Provider Directory

National Provider Directory

Locations

1449 S David Ln
#120
Boise, ID 83705
Phone (888) 510-9298

916 W Ironwood Dr
#U
Coeur D Alene, ID 83814

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1255935581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 E HIGH ST STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545561",
            "telephone_number": "888-209-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 E GOLDSTONE DR STE 130",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421224",
            "telephone_number": "888-209-8874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5975 W Overland Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837093012",
            "country_code": "US",
            "telephone_number": "208-488-4998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3423 Merlin Dr",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834047430",
            "country_code": "US",
            "telephone_number": "208-217-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11118 Moss Ln",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836518015",
            "country_code": "US",
            "telephone_number": "208-563-5910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 W McMillan Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836466891",
            "country_code": "US",
            "telephone_number": "208-900-4480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "916 W Ironwood Dr Ste Ul1",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142642",
            "country_code": "US",
            "telephone_number": "208-577-5380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 Falls Ave E Ste 1151A",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833013455",
            "country_code": "US",
            "telephone_number": "208-543-7995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALERACARE OF IDAHO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-27",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "888-209-8874"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.