Active NPI
Hisway, LLC
- Developmentally Disabled Services Day Training Agency
- Boise, ID
National Provider Identifier
1770917866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- HISWAY, LLC
- Practice address
- 8590 W Fairview Ave
Boise, ID 83704-8320 - Phone
- (208) 860-7124
- Fax
- (208) 672-0238
- NPI assigned
- Aug 26, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Ellen Marie Hampton
- Title
- Administrator/Owner
- Phone
- (208) 860-7124
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | LCSW820 | ID |
Addresses
Primary practice location
8590 W Fairview Ave
Boise, ID 83704-8320
Mailing address
8590 W Fairview Ave
Boise, ID 83704-8320
Phone (208) 860-7124
Other practice location 1
330 N Orchard St
Boise, ID 83706-1627
Phone (208) 672-0260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770917866 | Medicaid | ID |
Other names 1
- Hisway, LLC
National Provider Directory
National Provider Directory- Tax ID family
- Hisway LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Boise, ID
- NPI 1235501503
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Boise, ID
- NPI 1699029678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657756800000",
"number": "1770917866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8590 W FAIRVIEW AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837048320",
"telephone_number": "208-860-7124",
"fax_number": "208-672-0238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8590 W FAIRVIEW AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837048320",
"telephone_number": "208-860-7124",
"fax_number": "208-672-0238"
}
],
"practiceLocations": [
{
"address_1": "330 N Orchard St",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837061627",
"country_code": "US",
"telephone_number": "208-672-0260",
"fax_number": "208-321-7750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HISWAY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-26",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A",
"authorized_official_last_name": "HAMPTON",
"authorized_official_first_name": "ELLEN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
"authorized_official_telephone_number": "208-860-7124",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "ID",
"license": "LCSW820",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770917866",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hisway, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.