Active NPI
Affinity Care of Idaho LLC
- Community Based Hospice Care Agency
- Boise, ID
National Provider Identifier
1942145289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- AFFINITY CARE OF IDAHO LLC
- Practice address
- 950 W Bannock St Ste 1100
Boise, ID 83702-6140 - Phone
- (208) 460-5900
- Fax
- (208) 485-7093
- NPI assigned
- Apr 22, 2026
- Last updated
- Apr 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel Stern
- Title
- Ceo
- Phone
- (510) 499-9977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
950 W Bannock St Ste 1100
Boise, ID 83702-6140
Mailing address
950 W Bannock St Ste 1100
Boise, ID 83702-6140
Phone (208) 460-5900
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2343333 | Affinity Care of Idaho LLC | Certificate of waiver | May 4, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777507200000",
"number": "1942145289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 W BANNOCK ST STE 1100",
"city": "BOISE",
"state": "ID",
"postal_code": "837026140",
"telephone_number": "208-460-5900",
"fax_number": "208-485-7093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 W BANNOCK ST STE 1100",
"city": "BOISE",
"state": "ID",
"postal_code": "837026140",
"telephone_number": "208-460-5900",
"fax_number": "208-485-7093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFINITY CARE OF IDAHO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-22",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A",
"authorized_official_last_name": "STERN",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "510-499-9977"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"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 Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.