Active NPI
Town Portal LLC
- Assisted Living Facility
- Boise, ID
National Provider Identifier
1366271132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- TOWN PORTAL LLC
- Practice address
- 1819 W Bannock St
Boise, ID 83702-5109 - Phone
- (208) 514-6630
- NPI assigned
- Jul 30, 2024
- 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
- Michael Larkin
- Title
- Owner
- Phone
- (208) 514-6630
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary | ||
| Alzheimer Center (Dementia Center) | 311500000X |
Addresses
Primary practice location
1819 W Bannock St
Boise, ID 83702-5109
Mailing address
1755 N Westgate Dr Ste 220
Boise, ID 83704-7181
Phone (208) 514-6630
Other practice location 1
1307 N 25th St
Boise, ID 83702-2320
Phone (208) 514-6630
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722297600000",
"number": "1366271132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 N WESTGATE DR STE 220",
"city": "BOISE",
"state": "ID",
"postal_code": "837047181",
"telephone_number": "208-514-6630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 W BANNOCK ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837025109",
"telephone_number": "208-514-6630"
}
],
"practiceLocations": [
{
"address_1": "1307 N 25th St",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837022320",
"country_code": "US",
"telephone_number": "208-514-6630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TOWN PORTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-30",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A",
"authorized_official_last_name": "LARKIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-514-6630"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": null,
"license": null,
"primary": false
}
],
"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 Jul 30, 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.