Organization Active NPI

Safe Release House

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Boise, ID
National Provider Identifier
1346061777
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
Legal business name
SAFE RELEASE HOUSE
Practice address
8154 W Packsaddle Dr
Boise, ID 83709-4964
Phone
(208) 919-7610
NPI assigned
Oct 18, 2024
Last updated
Oct 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Jenny Jean Ricks
Title
Owner
Phone
(208) 919-7610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X NU Primary

Addresses

Primary practice location

8154 W Packsaddle Dr
Boise, ID 83709-4964

Mailing address

8154 W Packsaddle Dr
Boise, ID 83709-4964
Phone (208) 919-7610

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1346061777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8154 W PACKSADDLE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837094964",
            "telephone_number": "208-919-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8154 W PACKSADDLE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837094964",
            "telephone_number": "208-919-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE RELEASE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "RICKS",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-919-7610"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "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 Oct 18, 2024; 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.