Active NPI
McNicholas, LLC
Doing business as Vital Care of Boise
- Home Infusion Agency
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- Legal business name
- MCNICHOLAS, LLC
- Doing business as
- Vital Care of Boise
- Practice address
- 12828 W Lasalle St Ste 101
Boise, ID 83713-1517 - Phone
- (623) 670-1625
- Fax
- (208) 579-5662
- NPI assigned
- May 24, 2022
- 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
- James M. McNicholas
- Title
- Managing Member
- Phone
- (623) 670-1625
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Pharmacy | 333600000X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X |
Addresses
Primary practice location
12828 W Lasalle St Ste 101
Boise, ID 83713-1517
Mailing address
12828 W Lasalle St Ste 101
Boise, ID 83713-1517
Phone (208) 579-7400
Other names 1
- Vital Care of Boise
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220913000241 | ID | DME Supplier - Medical Supply Company With Registered Pharmacist | 6608251665 | Practice locations: Boise, ID |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Vital Care of Boise | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Oral Anticancer Drugs|External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider DirectoryMember organizations 4
Organizations listed as members of this organization in the National Provider Directory.
-
dba Vital Care of Eastern Idaho
- Home Infusion Agency
- Idaho Falls, ID
- NPI 1467105726
Member Of
-
dba Vital Care Of Sarasota
- Home Infusion Agency
- Bradenton, FL
- NPI 1114672805
Member Of
-
dba Vital Care of North Tucson
- Home Infusion Therapy Pharmacy
- Tucson, AZ
- NPI 1699535781
Member Of
-
dba Vital Care of Grand Junction
- Home Infusion Therapy Pharmacy
- Grand Junction, CO
- NPI 1922868959
Member Of
Locations
12828 W Lasalle St
Ste 101
Boise, ID 83713
Phone (208) 579-7400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785196800000",
"number": "1356089973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12828 W LASALLE ST STE 101",
"city": "BOISE",
"state": "ID",
"postal_code": "837131517",
"telephone_number": "208-579-7400",
"fax_number": "208-579-5662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12828 W LASALLE ST STE 101",
"city": "BOISE",
"state": "ID",
"postal_code": "837131517",
"telephone_number": "623-670-1625",
"fax_number": "208-579-5662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCNICHOLAS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-24",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A",
"authorized_official_last_name": "MCNICHOLAS",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "623-670-1625"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vital Care of Boise",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Vital Care of Boise",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.