Vines of Life

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

RC899 Issued in ID

Legal business name

VINES OF LIFE

Practice address

11088 W Edna St
Boise, ID 83713-3829

Phone

(208) 378-7581

Fax

(208) 322-2977

NPI assigned

Mar 3, 2008

Last updated

Mar 3, 2008By 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

Mrs. Jessica R Vialpando, MS CCC-SLP, RCA

Title

Administrator

Phone

(208) 378-7581

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1639349004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11088 W EDNA ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837133829",
            "telephone_number": "208-378-7581",
            "fax_number": "208-322-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11088 W EDNA ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837133829",
            "telephone_number": "208-378-7581",
            "fax_number": "208-322-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINES OF LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "VIALPANDO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-378-7581",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC-SLP, RCA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ID",
            "license": "RC899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer M Vincent, DO
• Jesse D Vincent
• Julie Vincent, MA
• Karen M Vincent, RRT
• Kelly Jo Vincent, PA-C
• Scott Vinsonhaler, MPT
• Monica Virgen
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• Vision One Inc (Vision One)
• Vision Quest Medical Center, PA

• Assisted Living Facility in Boise, ID
• Providers in Boise, ID by specialty
• Assisted Living Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.