Organization Active NPI

Roots Support Services

  • In Home Supportive Care Agency
  • Boise, ID
National Provider Identifier
1851161400
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ROOTS SUPPORT SERVICES
Practice address
1002 N 13TH St
Boise, ID 83702-4111
Phone
(208) 703-5184
Fax
(208) 576-4330
NPI assigned
Jan 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Chelsea Support Cox
Title
Administrator
Phone
(208) 703-5184

Specialties & licenses 1

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

Addresses

Primary practice location

1002 N 13TH St
Boise, ID 83702-4111

Mailing address

1002 N 13TH St
Boise, ID 83702-4111
Phone (208) 703-5184

National Provider Directory

National Provider Directory

Locations

1002 N 13th St
Boise, ID 83702
Phone (208) 367-1528

NPI Registry JSON

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1851161400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N 13TH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024111",
            "telephone_number": "208-703-5184",
            "fax_number": "208-576-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N 13TH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024111",
            "telephone_number": "208-703-5184",
            "fax_number": "208-576-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "SUPPORT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-703-5184"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "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 Jan 4, 2024; 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.