NPIMap

Organization Active NPI

Lifeways, Inc

  • Psychiatric Hospital
  • Boise, ID
National Provider Identifier
1437620358
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
LIFEWAYS, INC
Practice address
8050 W Northview St
Boise, ID 83704-7126
Phone
(208) 327-0504
NPI assigned
Dec 17, 2018
Organization subpart
Yes
Parent organization
LIFEWAYS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Tim Hoekstra
Title
Ceo
Phone
(541) 889-9167

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

8050 W Northview St
Boise, ID 83704-7126

Mailing address

702 Sunset Dr
Ontario, OR 97914-3121
Phone (541) 889-9167

Other names 1

  • Lifeways Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190313000862 ID Part A Provider - Hospital 4183696214 Practice locations: Boise, ID

Hospital certification: CCN 134009

Legal name
LIFEWAYS INC
Doing business as
LIFEWAYS HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Oct 29, 1992
Last certification
May 23, 2024
Beds
16
Ownership / control type
Private (not for profit)
Most recent change of ownership
May 1, 2013 (7 total)
Organization structure
CorporationNon-profit
Incorporated
Nov 3, 1994 in OR
Enrollment address
8050 W Northview St
Boise, ID 83704-7126
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Lifeways HospitalCCN 134009
Type
Psychiatric
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D0858805Lifeways Hospital8050 W Northview St, Boise, ID 83704Certificate of waiverJan 10, 2028

National Provider Directory

National Provider Directory
Tax ID family
Lifeways Inc4 organizations share this tax ID, including this one
Part of
Lifeways Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Steve Jensen Individual Corporate Officer Jan 31, 2022
Corporate Director Apr 21, 2008
W-2 Managing Employee Apr 21, 2008

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1437620358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SUNSET DR",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979143121",
            "telephone_number": "541-889-9167",
            "fax_number": "541-889-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 W NORTHVIEW ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837047126",
            "telephone_number": "208-327-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWAYS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFEWAYS, INC",
        "enumeration_date": "2018-12-17",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "HOEKSTRA",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-889-9167"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifeways Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lifeways Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.