Organization Active NPI

Shanell Larae LLC

  • Home Health Agency
  • Boise, ID
National Provider Identifier
1629924550
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHANELL LARAE LLC
Practice address
1603 W Hays St Apt 101
Boise, ID 83702-4065
Phone
(208) 614-8724
NPI assigned
Mar 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Shanell La Rae Stalker
Title
Owner
Phone
(208) 614-8724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1603 W Hays St Apt 101
Boise, ID 83702-4065

Mailing address

1603 W Hays St Apt 101
Boise, ID 83702-4065
Phone (208) 614-8724

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1629924550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 W HAYS ST APT 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024065",
            "telephone_number": "208-614-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 W HAYS ST APT 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024065",
            "telephone_number": "208-614-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANELL LARAE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "STALKER",
        "authorized_official_first_name": "SHANELL",
        "authorized_official_middle_name": "LA RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-614-8724"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Mar 4, 2026; 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.