Organization Active NPI

Boise SH, LLC

  • Assisted Living Facility
  • Boise, ID
National Provider Identifier
1326954686
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BOISE SH, LLC
Practice address
1093 S Hilton St
Boise, ID 83705-1971
Phone
(208) 345-4460
NPI assigned
Aug 19, 2026
Last updated
Aug 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Steven Bae
Title
VP of Ops Support
Phone
(971) 804-4195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1093 S Hilton St
Boise, ID 83705-1971

Mailing address

560 1St St Ste 104
Lake Oswego, OR 97034-3273
Phone (971) 804-4195

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1326954686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 1ST ST STE 104",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343273",
            "telephone_number": "971-804-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 S HILTON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051971",
            "telephone_number": "208-345-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOISE SH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "BAE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "VP OF OPS SUPPORT",
        "authorized_official_telephone_number": "971-804-4195"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "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 Aug 19, 2026; 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.