NPIMap

Organization Active NPI

Community Home Care LLC

  • In Home Supportive Care Agency
  • Boise, ID
National Provider Identifier
1952977837
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMMUNITY HOME CARE LLC
Practice address
9150 W Holt St
Boise, ID 83704-6819
Phone
(208) 391-2950
NPI assigned
Jun 1, 2021
Last updated
Jun 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Authorized official

Name
Sarmad Saddam Talib
Title
Owner
Phone
(208) 891-7179

Specialties & licenses 1

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

Addresses

Primary practice location

9150 W Holt St
Boise, ID 83704-6819

Mailing address

9150 W Holt St
Boise, ID 83704-6819
Phone (208) 391-2950

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1952977837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 W HOLT ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837046819",
            "telephone_number": "208-391-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 W HOLT ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837046819",
            "telephone_number": "208-391-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "TALIB",
        "authorized_official_first_name": "SARMAD",
        "authorized_official_middle_name": "SADDAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-891-7179"
    },
    "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 Jun 7, 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.