Life Saver LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFE SAVER LLC

Practice address

9048 W Cornflower St
Nampa, ID 83687-5743

Phone

(208) 473-0520

NPI assigned

Mar 11, 2026

Last updated

Mar 11, 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

Pascal Mudakikwa

Title

Owner

Phone

(208) 473-0520

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1780531673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9048 W CORNFLOWER ST",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9048 W CORNFLOWER ST",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875743",
            "telephone_number": "208-473-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SAVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "MUDAKIKWA",
        "authorized_official_first_name": "PASCAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-473-0520"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.