Organization Active NPI

Eros Health, LLC

  • Women's Health Nurse Practitioner
  • Boise, ID
National Provider Identifier
1831827310
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
Legal business name
EROS HEALTH, LLC
Practice address
800 W Main St Ste 1460
Boise, ID 83702-5983
Phone
(208) 352-2290
Fax
(833) 471-6098
NPI assigned
Aug 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Jennifer Jean Mimish, CNM, WHNPNPI 1821485012
Title
Owner, Nurse Practitioner
Phone
(208) 559-6494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X Primary

Addresses

Primary practice location

800 W Main St Ste 1460
Boise, ID 83702-5983

Mailing address

1301 S Millstream Dr
Nampa, ID 83686-4837
Phone (208) 559-6494

Other names 1

  • Eros Health Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1831827310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S MILLSTREAM DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836864837",
            "telephone_number": "208-559-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MAIN ST STE 1460",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025983",
            "telephone_number": "208-352-2290",
            "fax_number": "833-471-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EROS HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "MIMISH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER, NURSE PRACTITIONER",
        "authorized_official_telephone_number": "208-559-6494",
        "authorized_official_credential": "CNM, WHNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eros Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 23, 2025; 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.