Family Life, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

RC-1059 Issued in ID

Legal business name

FAMILY LIFE, LLC

Doing business as

Family Life

Practice address

422 11TH Ave S
Nampa, ID 83651-4233

Phone

(208) 442-8200

Fax

(208) 442-1418

NPI assigned

Sep 11, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Robert Graham Richmond

Title

Owner

Phone

(208) 429-1511

Specialties & licenses 1

Addresses

Other names 1

• Family Life Doing business as

Locations

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1801221627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 11TH AVE S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514233",
            "telephone_number": "208-442-8200",
            "fax_number": "208-442-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 11TH AVE S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836514233",
            "telephone_number": "208-442-8200",
            "fax_number": "208-442-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-429-1511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "ID",
            "license": "RC-1059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eyemart Express, LTD
• Steve R Fahland, PHARMD
• Libbie Anne Fairchild
• Erica Faler, LPC
• Family Eyecare Specialists PLLC
• Hilal Mahmood Fanasch, MD
• Isabella M Farina, MD
• Michael Jeffrey Farley, PA-C
• Jenna L Farmer, DO
• Lori Lynn Farrens, LCPC

• Alzheimer Center (Dementia Center) in Nampa, ID
• Providers in Nampa, ID by specialty
• Alzheimer Center (Dementia Center) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.