NPIMap

Organization Active NPI

Boise SNF Operations, LLC

Doing business as Life Care Center of Boise

  • Skilled Nursing Facility
  • Boise, ID
National Provider Identifier
1306207279
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BOISE SNF OPERATIONS, LLC
Doing business as
Life Care Center of Boise
Practice address
808 N Curtis Rd
Boise, ID 83706-1306
Phone
(208) 376-5273
Fax
(208) 323-9134
NPI assigned
Mar 18, 2016
Last updated
Jul 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Authorized official

Name
Cindy Cross
Title
Assistant Secretary
Phone
(423) 473-5867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

808 N Curtis Rd
Boise, ID 83706-1306

Mailing address

3001 Keith St NW
Cleveland, TN 37312-3713
Phone (423) 473-5751

Other names 1

  • Life Care Center of Boise Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160911000000 ID Part A Provider - Skilled Nursing Facility 6901192368 Practice locations: Boise, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306207279. Details of each certification follow.

Skilled nursing facility certification: CCN 135038

Legal name
BOISE SNF OPERATIONS LLC
Doing business as
LIFE CARE CENTER OF BOISE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 15, 1967
Last certification
Dec 3, 2021
Beds
153
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Life Care Centers of America
Organization structure
LLCProprietary
Enrollment address
808 N Curtis Rd
Boise, ID 83706-1306
Nursing home name
LIFE CARE CENTER OF BOISE
Affiliated entity
LIFE CARE CENTERS OF AMERICA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Life Care Center of BoiseCCN 135038 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 15, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
15365.4 residents per day on average
Chain
Life Care Centers of America194 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Boise SNF Operations LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Forrest L Preston Individual 5% Or Greater Indirect Ownership Interest Aug 24, 2015 100%
Operational/Managerial Control Aug 24, 2015
Adp of the SNF Sep 26, 2012
Indirect Ownership Interest Aug 24, 2015 100%
Terry Henry Individual Corporate OfficerAsst Treasurer of Management Co Aug 24, 2015
Todd Fletcher Individual Corporate DirectorBoard Member of Management Company May 1, 2021
Operational/Managerial Control May 1, 2021
Aubrey Preston Individual Operational/Managerial Control Nov 27, 2024
Joan E Thurmond Individual Corporate OfficerAssistant Secretary of MGMT. Co. Mar 1, 2016
Nancy Butner Individual Operational/Managerial Control Mar 5, 2003
Managing Control - Governing BodyDivision Vice President Mar 5, 2003
Cindy S Cross Individual Corporate OfficerVP/Asst Sec of Management Company Mar 1, 2016
Richard Swanker Individual Operational/Managerial Control Jan 1, 2022
Life Care Centers of America, Inc. Organization, Cleveland, TN Corporation, Management services company, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 24, 2015 100%
Operational/Managerial Control Aug 24, 2015 100%
Adp of the SNF Sep 26, 2012
Aaron Moorhouse Individual Operational/Managerial Control Oct 1, 2016
Adp of the SNF Feb 28, 2025
Rebekka a. Mason Individual Operational/Managerial Control Jun 20, 2023
Managing Control - Governing BodyDirector of Nursing Jun 20, 2023
Organization, Cleveland, TN LLC, For-profit Adp of the SNF Sep 26, 2012
Lisa M Lay Individual Operational/Managerial Control Apr 24, 2017
James Ziegler Individual Operational/Managerial Control Aug 24, 2015
John Schulkins Individual Operational/Managerial Control May 18, 2020
Managing Control - Governing BodyAdministrator May 18, 2020
Adp of the SNF Feb 11, 2025

Owners & managing parties with NPI records 26

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 26

Facilities with the same owner 193

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 193

Practitioners & 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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1306207279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 N CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061306",
            "telephone_number": "208-376-5273",
            "fax_number": "208-323-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOISE SNF OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 Merchant St",
            "city": "Ste Genevieve",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636701610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Life Care Center of Boise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.