Healthy Living at Home-Boise, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEALTHY LIVING AT HOME-BOISE, LLC.

Practice address

2950 E Magic View Dr Ste 150
Meridian, ID 83642-6253

Phone

(208) 999-4110

Fax

(208) 493-3019

NPI assigned

Mar 29, 2018

Last updated

Mar 31, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julio Quinones

Title

Ceo

Phone

(916) 260-5296

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1518462555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 E MAGIC VIEW DR STE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426253",
            "telephone_number": "208-999-4110",
            "fax_number": "208-493-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 E MAGIC VIEW DR STE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426253",
            "telephone_number": "208-999-4110",
            "fax_number": "208-493-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING AT HOME-BOISE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "QUINONES",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-260-5296"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.