Active NPI
Swjk77, Inc.
- In Home Supportive Care Agency
- Boise, ID
National Provider Identifier
1346694973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SWJK77, INC.
- Practice address
- 126 S Cole Rd
Boise, ID 83709-0932 - Phone
- (208) 297-5016
- NPI assigned
- Apr 20, 2016
- 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. Steven Kalina
- Title
- Owner
- Phone
- (208) 297-5016
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
126 S Cole Rd
Boise, ID 83709-0932
Mailing address
126 S Cole Rd
Boise, ID 83709-0932
Phone (208) 297-5016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A0002586 | Medicaid | ID |
National Provider Directory
National Provider DirectoryLocations
126 S Cole Rd
Boise, ID 83709
Phone (208) 297-5016
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- In Home Supportive Care Agency
- Boise, ID
- NPI 1578955365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461110400000",
"number": "1346694973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 S COLE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837090932",
"telephone_number": "208-297-5016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 S COLE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837090932",
"telephone_number": "208-297-5016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWJK77, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-20",
"last_updated": "2016-04-20",
"status": "A",
"authorized_official_last_name": "KALINA",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-297-5016",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A0002586",
"state": "ID"
}
],
"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 Apr 20, 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.