Organization Active NPI

CSHR Boise TRS LLC

  • Assisted Living Facility
  • Boise, ID
National Provider Identifier
1366291023
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CSHR BOISE TRS LLC
Practice address
4455 E Warm Springs Ave
Boise, ID 83716-7214
Phone
(208) 906-3271
NPI assigned
May 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Kristy Blizzard
Title
Controller
Phone
(503) 789-5345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4455 E Warm Springs Ave
Boise, ID 83716-7214

Mailing address

2603 Main St Ste 1050
Irvine, CA 92614-4282

Other names 1

  • Aspen Valley Senior Living Doing business as

National Provider Directory

National Provider Directory

Locations

4455 E Warm Springs Ave
Boise, ID 83716
Phone (208) 906-1900

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1366291023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 MAIN ST STE 1050",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 E WARM SPRINGS AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837167214",
            "telephone_number": "208-906-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSHR BOISE TRS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "BLIZZARD",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "503-789-5345"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Valley Senior Living",
            "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 Jun 3, 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.