Organization Active NPI

Full Life Care

  • Home Health Agency
  • Boise, ID
National Provider Identifier
1518473404
Registry record updated Dec 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FULL LIFE CARE
Practice address
8470 Horseshoe Bend Rd
Boise, ID 83714-3858
Phone
(208) 991-2783
NPI assigned
Dec 14, 2017
Organization subpart
Yes
Parent organization
BULLET PROOF ELECTRONICS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 14, 2017

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

Authorized official

Name
Mr. Lincoln Thomason
Title
Mamager
Phone
(208) 816-3842

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
DriverGroup: 193400000X SINGLE SPECIALTY GROUP 172A00000X
Home Health Agency 251E00000X Primary
Chore ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 372500000X
Adult CompanionGroup: 193400000X SINGLE SPECIALTY GROUP 372600000X
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

8470 Horseshoe Bend Rd
Boise, ID 83714-3858

Mailing address

8470 Horseshoe Bend Rd
Boise, ID 83714-3858

National Provider Directory

National Provider Directory
Part of
Full Life Care

NPI Registry JSON

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513209600000",
    "number": "1518473404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8470 HORSESHOE BEND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837143858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8470 HORSESHOE BEND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837143858",
            "telephone_number": "208-991-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL LIFE CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BULLET PROOF ELECTRONICS, INC.",
        "enumeration_date": "2017-12-14",
        "last_updated": "2017-12-14",
        "status": "A",
        "authorized_official_last_name": "THOMASON",
        "authorized_official_first_name": "LINCOLN",
        "authorized_official_title_or_position": "MAMAGER",
        "authorized_official_telephone_number": "208-816-3842",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 14, 2017; 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.