Family Care Clinic, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

FAMILY CARE CLINIC, LLC

Practice address

8050 W Rifleman St Ste 100
Boise, ID 83704-9006

Phone

(208) 321-0634

Fax

(208) 321-1082

NPI assigned

Aug 5, 2013

Last updated

Aug 5, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

ALL HORIZONS, INCAs reported in NPPES

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

Authorized official

Name

Laurie Miller

Title

Office Manager

Phone

(208) 321-0634

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Family Care Clinic LLC2 organizations share this tax ID, including this one

Part of

All Horizons Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Family Care Clinic LLC

  • Primary Care Clinic/Center
  • Boise, ID
  • NPI 1568700128
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather Ann Hieb, LCPC

  • Mental Health Counselor
  • Nampa, ID
  • NPI 1447745989
  NPD

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1811329592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 W RIFLEMAN ST STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049006",
            "telephone_number": "208-321-0634",
            "fax_number": "208-321-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 W RIFLEMAN ST STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049006",
            "telephone_number": "208-321-0634",
            "fax_number": "208-321-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALL HORIZONS, INC",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-321-0634"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265565477",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordyn Lynn Falkner
• Michaela Falkner, N.M.D.
• Sophia Falslev
• Family Care Clinic
• Family Care Clinic LLC
• Family Connection, Inc. (Family Connections, Inc.)
• Family First Home Care LLC
• Family Practice Medical
• Family Practice Residency of Idaho, Inc (Family Practice Medical Center)
• Alexi Dimitrios Fanopoulos, LMSW

• Multi-Specialty Clinic/Center in Boise, ID
• Providers in Boise, ID by specialty
• Multi-Specialty Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.