Organization Active NPI

Independence Care of Idaho LLC

  • In Home Supportive Care Agency
  • Boise, ID
National Provider Identifier
1790546273
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
INDEPENDENCE CARE OF IDAHO LLC
Practice address
950 W Bannock St Ste 1100
Boise, ID 83702-6140
Phone
(603) 520-1603
Fax
(412) 312-3828
NPI assigned
Jan 22, 2024
Last updated
May 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Dominick Troiano
Title
Director of Government Affairs
Phone
(603) 520-1603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

950 W Bannock St Ste 1100
Boise, ID 83702-6140

Mailing address

3301 Bonita Beach Rd Ste 208
Bonita Springs, FL 34134-7835
Phone (603) 520-1603

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1790546273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 BONITA BEACH RD STE 208",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347835",
            "telephone_number": "603-520-1603",
            "fax_number": "412-312-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W BANNOCK ST STE 1100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026140",
            "telephone_number": "603-520-1603",
            "fax_number": "412-312-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE CARE OF IDAHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "TROIANO",
        "authorized_official_first_name": "DOMINICK",
        "authorized_official_title_or_position": "DIRECTOR OF GOVERNMENT AFFAIRS",
        "authorized_official_telephone_number": "603-520-1603"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "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 May 28, 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.