Gsded Idaho LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GSDED IDAHO LLC

Practice address

1010 S Allante PL Ste 102
Boise, ID 83709-1660

Phone

(208) 938-9681

NPI assigned

Nov 5, 2024

Organization subpart

No

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

Authorized official

Name

Michael Hawkins

Title

Owner

Phone

(801) 401-3515

Specialties & licenses 1

Addresses

Other names 1

• Interim HealthCare of Idaho Doing business as

Locations

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1386467637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S ALLANTE PL STE 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S ALLANTE PL STE 102",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091660",
            "telephone_number": "208-938-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSDED IDAHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-401-3515"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare of Idaho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Brittney Gruhot, PHD, LCSW, CCHP-MH
• James Grundy, DDS
• Zachary Ronald Grunig, PA-C
• Maria Chanel Gruver
• Melissa Gryder
• Guardian Pharmacy of Boise, LLC
• Sally Guaspari, LPC
• Warren William Gude, MD
• Christine V Guenther, DO
• Leana A. Guerin, M.D.

• Home Health Agency in Boise, ID
• Providers in Boise, ID by specialty
• Home Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.