Heartfelt Haven Assisted Living LLC

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

HEARTFELT HAVEN ASSISTED LIVING LLC

Practice address

1212 S Longmont Ave
Boise, ID 83706-3645

Phone

(208) 316-7357

NPI assigned

Apr 9, 2026

Last updated

Apr 16, 2026By 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

Jorden Tesh Black, RN, BSN, MBA

Title

Owner

Phone

(208) 316-7357

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1649113309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S LONGMONT AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063645",
            "telephone_number": "208-316-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S LONGMONT AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063645",
            "telephone_number": "208-316-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTFELT HAVEN ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "JORDEN",
        "authorized_official_middle_name": "TESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-316-7357",
        "authorized_official_credential": "RN, BSN, MBA"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amy Heater
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• Heather K Dunnam LCSW PLLC

• Intellectual Disabilities Intermediate Care Facility in Boise, ID
• Providers in Boise, ID by specialty
• Intellectual Disabilities Intermediate Care Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.