NPIMap

Organization Active NPI

Leyline Advocates, LLC

  • Case Management Agency
  • Boise, ID
National Provider Identifier
1548395155
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
807195700 Issued in ID
Legal business name
LEYLINE ADVOCATES, LLC
Practice address
290 W Bobwhite CT Ste 300
Boise, ID 83706-6653
Phone
(208) 344-9797
Fax
(208) 344-9898
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Authorized official

Name
Mr. James Bradford Daniels
Title
Manager
Phone
(208) 344-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 807195700 ID Primary

Addresses

Primary practice location

290 W Bobwhite CT Ste 300
Boise, ID 83706-6653

Mailing address

290 W Bobwhite CT Ste 300
Boise, ID 83706-6653
Phone (208) 344-9797

Other identifiers 1

IdentifierTypeStateIssuer
807195700MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
Leyline Advocates LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

290 W Bobwhite Ct
Ste 300
Boise, ID 83706
Phone (208) 344-9797

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1548395155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 W BOBWHITE CT STE 300",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066653",
            "telephone_number": "208-344-9797",
            "fax_number": "208-344-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 W BOBWHITE CT STE 300",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066653",
            "telephone_number": "208-344-9797",
            "fax_number": "208-344-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEYLINE ADVOCATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-344-9797",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ID",
            "license": "807195700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807195700",
            "state": "ID"
        }
    ],
    "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 Apr 27, 2012; 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.