FULL LIFE CARE (NPI# 1518473404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518473404 |
| Entity Type | Organization |
| Organization Name | FULL LIFE CARE |
| Practice Address |
8470 Horseshoe Bend Rd Boise ID 83714-3858 |
| Practice Telephone | 2089912783 |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |
| Authorized Official Name | MR. LINCOLN THOMASON (MAMAGER) |
| Authorized Official Telephone | 2088163842 |
| Is Organization Subpart | Y |
| Parent Organization Name | BULLET PROOF ELECTRONICS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172A00000X | Driver | Other Service Providers | ||
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| Y | 251E00000X | Home Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760823025 | Full Life Care | Community/Behavioral Health | 2600 S Walker St, Seattle, WA 98144-4710 | 2013-07-15 |
| 1609120468 | Full Life Care | Contractor | 2931 Ruker Ave., Everett, WA 98201 | 2012-11-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FULL LIFE CARE | 8470 N Horseshoe Bend Rd, Boise, ID 83714-3858 |
| Washington State Corporations | FULL LIFE CARE | 1980 112th Ave Ne Ste 210, Bellevue, WA 98004-2940 |
| Street Address |
8470 HORSESHOE BEND RD |
| City | BOISE |
| State | ID |
| Zip Code | 83714-3858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
| 1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
| 1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
| Find all providers in zip 83714 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467097410 | Karissa I Niece | Home Health | 3515 W Greenbrier Dr, Boise, ID 83705-4514 | 2019-11-14 |
| 1164082210 | Boise Home Care Inc. Comfort Keepers | Home Health | 7646 W Lemhi St Ste 4, Boise, ID 83709-2871 | 2019-06-19 |
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
| 1164954467 | Allegiance Home Health Care LLC | Home Health | 3328 N Lakeharbor Ln # H201, Boise, ID 83703-6256 | 2017-03-28 |
| 1194159764 | Tdandc LLC | Home Health | 4205 W Emerald St, Boise, ID 83706-2036 | 2013-08-30 |
| 1144654443 | Allied Care Givers | Home Health | 1800 N Cole Rd, A 301, Boise, ID 83704-7372 | 2013-08-22 |
| 1497056170 | Everyday Angles Home Health Care LLC | Home Health | 3909 Leland Way, Boise, ID 83709-4603 | 2010-11-10 |
| 1073828828 | Bright Blooms LLC | Home Health | 4355 W Emerald, Suite 290, Boise, ID 83706 | 2010-08-17 |
| 1528225729 | Advanced Home Health & Staffing Inc. | Home Health | 8030 W Emerald St, Suite 185, Boise, ID 83704-9060 | 2008-05-16 |
| Find all providers in BOISE | ||||
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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.