RJN Boise, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RJN BOISE, LLC

Practice address

2000 S Peppercorn PL
Boise, ID 83709-2249

Phone

(208) 409-8798

NPI assigned

Jun 12, 2021

Organization subpart

No

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

Authorized official

Name

Randall Jerome Nilson

Title

Member/Manager

Phone

(208) 409-8798

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1623456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623456000000",
    "number": "1912575424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S PEPPERCORN PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837092249",
            "telephone_number": "208-409-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S PEPPERCORN PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837092249",
            "telephone_number": "208-409-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJN BOISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-12",
        "last_updated": "2021-06-12",
        "certification_date": "2021-06-12",
        "status": "A",
        "authorized_official_last_name": "NILSON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "208-409-8798"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4295493",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "randy_nilson@hotmail.com",
            "affiliation": "N",
            "address_1": "2000 S Peppercorn Pl",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837092249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Riverview Dental PLLC
• Riverview Dental South PLLC
• Jeremy Gary Rivett, RN
• RJB Psychology, PLLC
• Rjlft, LLC (FYZICAL Therapy & Balance Centers)
• Ira Roach, LCSW
• Nathan Lee Roach, MD
• Nichole Marie Roach, FNP-C
• Kelly Robben, BCBA
• Jeffrey D Robbins, FNP

• Home Health Agency in Boise, ID
• Providers in Boise, ID by specialty
• Home Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2021; 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.