St. Augustine Healthcare of Idaho LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

ST. AUGUSTINE HEALTHCARE OF IDAHO LLC

Practice address

10936 W Spring River St
Boise, ID 83709-5677

Phone

(208) 202-8974

NPI assigned

Jun 21, 2023

Organization subpart

No

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

Authorized official

Name

Zizina Anacker

Title

Owner

Phone

(208) 202-8974

Specialties & licenses 1

Addresses

Other names 1

• St. Augustine Healthcare of Idaho Other name

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1508541970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10936 W SPRING RIVER ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837095677",
            "telephone_number": "208-202-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10936 W SPRING RIVER ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837095677",
            "telephone_number": "208-202-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. AUGUSTINE HEALTHCARE OF IDAHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "ANACKER",
        "authorized_official_first_name": "ZIZINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-202-8974"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Augustine Healthcare of Idaho",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• St Lukes Regional Medical Center
• St Lukes Regional Medical Center
• St Lukes Regional Medical Center Dba St Luke'S Internal Medicine
• St Michael Nephrology, PLLC
• St. Alphonsus Regional Medical Center Inc
• Jennifer Jean St. John, MA, BCBA
• St. Luke'S Boise Medical Center
• St. Luke'S Children'S
• St. Luke'S Elks Childrens Rehab
• St. Luke'S Elks Rehab

• Developmentally Disabled Services Day Training Agency in Boise, ID
• Providers in Boise, ID by specialty
• Developmentally Disabled Services Day Training Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.