ICARE SUPPORTED LIVING, INC. (NPI# 1083026579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083026579 |
| Entity Type | Organization |
| Organization Name | ICARE SUPPORTED LIVING, INC. |
| Practice Address |
1903 N Windsor Park Ave Middleton ID 83644-5584 |
| Practice Telephone | 2086953505 |
| Practice Fax Number | 2089554130 |
| Mailing Telephone | 2086953505 |
| Mailing Fax Number | 2089554130 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |
| Authorized Official Name | MRS. CARI RENEE GILBERT (OWNER/ ADMINISTRATOR/ QIDP) |
| Authorized Official Telephone | 2086953505 |
| Authorized Official Credential | B.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | RHA-5220 | ID | Agencies |
| Street Address |
1903 N WINDSOR PARK AVE |
| City | MIDDLETON |
| State | ID |
| Zip Code | 83644-5584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558008 | Forge International School | Local Education Agency (LEA) | 208 S Hartley Ln, Middleton, ID 83644 | 2019-09-20 |
| 1225329287 | Denise Ann Graveline | Pharmacist | 16700 N Marketplace, Nampa, ID 83644 | 2011-04-26 |
| 1497087951 | Kriste Ann Barnes-perrin | Speech-Language Pathologist | 23 East 1st Street North, Middleton, ID 83644 | 2010-02-09 |
| 1447581665 | Tammy M Marr | Specialist/Technologist | 341 N. 4th Ave W., Middleton, ID 83644 | 2010-01-28 |
| 1902925126 | Aries J Ganir | Dentist | 1064 W. Main Street, Middleton, ID 83644 | 2007-03-28 |
| 1669556908 | Erin Keller | Nurse Practitioner | 201 S. 1st Ave. E, Middleton, ID 83644 | 2006-10-24 |
| 1609818483 | West Valley Medical Center Inc | General Acute Care Hospital | 381 B South Middleton Road, Middleton, ID 83644 | 2006-06-13 |
| 1528250099 | Lee Physical Therapy, PC | Specialist | 18 E Main St, Suite 1, Middleton, ID 83644 | 2007-08-17 |
| 1124155577 | Ridleys Family Markets Inc | Pharmacy | 430 E Main St, Middleton, ID 83644-3036 | 2007-02-27 |
| 1508232703 | Lin-foo Sam Lee | Pharmacist | 430 E Main St, Middleton, ID 83644-3036 | 2015-08-11 |
| Find all providers in zip 83644 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922503788 | Quality Home Care Agency LLC | In Home Supportive Care | 5037 Saint Annes Dr, Middleton, WI 53597-8826 | 2018-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312763 | Elite Care LLC | In Home Supportive Care | 1560 N Crestmont Dr Ste D, Meridian, ID 83642-2178 | 2020-09-25 |
| 1447860291 | All Heart Home Care | In Home Supportive Care | 211 S Woodruff Ave Ste B1, Idaho Falls, ID 83401-4866 | 2020-08-06 |
| 1073134326 | Personal Home Care Specialists LLC | In Home Supportive Care | 1411 Falls Ave E Ste 415, Twin Falls, ID 83301-3455 | 2020-04-28 |
| 1578182424 | Terrace Home Health Boise LLC | In Home Supportive Care | 2929 W Navigator Dr Ste 201, Meridian, ID 83642-7553 | 2020-04-10 |
| 1114546223 | Treasure Valley Home Care Services L.L.C. | In Home Supportive Care | 13334 W Persimmon St, Boise, ID 83713-0860 | 2020-04-09 |
| 1326678525 | Sara Elizabeth Manzer | In Home Supportive Care | 2430 Center Ave, Payette, ID 83661-2740 | 2020-01-16 |
| 1164077376 | Arms Wide Open LLC | In Home Supportive Care | 134 3rd St S, Nampa, ID 83651-3715 | 2019-08-05 |
| 1013569003 | Legacy Rhs, LLC | In Home Supportive Care | 16663 Woodduck St, Nampa, ID 83687-8296 | 2019-07-10 |
| 1609430446 | Peak Moments Inc. | In Home Supportive Care | 800 W Main St Ste 1460, Boise, ID 83702-5983 | 2019-04-26 |
| 1871055152 | 3 and 1, LLC | In Home Supportive Care | 2524 W Sorbonne Dr, Coeur D Alene, ID 83815-5302 | 2019-04-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.