Organization Active NPI

Milestones, LLC

  • Case Management Agency
  • Meridian, ID
National Provider Identifier
1598967416
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
SW1965 Issued in ID
Legal business name
MILESTONES, LLC
Practice address
2863 S Tagish Way
Meridian, ID 83642-9191
Phone
(208) 898-0197
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dana Petrie
Title
Owner
Phone
(208) 861-1210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X SW1965 ID Primary

Addresses

Primary practice location

2863 S Tagish Way
Meridian, ID 83642-9191

Mailing address

PO Box 15237
Boise, ID 83715-5237

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598967416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15237",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837155237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 S TAGISH WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429191",
            "telephone_number": "208-898-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETRIE",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-861-1210"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ID",
            "license": "SW1965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.