HAVENWOOD CAREGIVER SERVICES OF IDAHO, LLC (NPI# 1841798857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841798857 |
| Entity Type | Organization |
| Organization Name | HAVENWOOD CAREGIVER SERVICES OF IDAHO, LLC |
| Other Organization Name | ABUNDANT CARE BY HAVENWOOD |
| Practice Address |
2417 N Cole Rd Boise ID 83704-5907 |
| Practice Telephone | 2083271011 |
| Practice Fax Number | 2083271411 |
| Mailing Telephone | 2083271011 |
| Mailing Fax Number | 2083271411 |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-26 |
| Authorized Official Name | JOHN OKEEFFE (DIRECTOR) |
| Authorized Official Telephone | 2083271011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | M8072875 | 05 |
| Other Name | Type Code |
|---|---|
| Abundant Care by Havenwood | Other Name - Individual/Organization |
| Street Address |
2417 N COLE RD |
| City | BOISE |
| State | ID |
| Zip Code | 83704-5907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| 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 |
|---|---|---|---|---|
| 1114546223 | Treasure Valley Home Care Services L.L.C. | In Home Supportive Care | 13334 W Persimmon St, Boise, ID 83713-0860 | 2020-04-09 |
| 1609430446 | Peak Moments Inc. | In Home Supportive Care | 800 W Main St Ste 1460, Boise, ID 83702-5983 | 2019-04-26 |
| 1902305758 | 1 A Advanced International Home Care LLC | In Home Supportive Care | 2645 N Cole Rd Ste F, Boise, ID 83704-5970 | 2018-02-07 |
| 1174051262 | Select Concierge Corp. | In Home Supportive Care | 1655 W Fairview Ave Ste 202, Boise, ID 83702-5190 | 2017-06-01 |
| 1932568938 | Yves Ndayishimiye | In Home Supportive Care | 1630 W Rossi St, Boise, ID 83706-3354 | 2016-02-18 |
| 1063809648 | Res-care Washington, Inc. | In Home Supportive Care | 9490 W Fairview Ave, Boise, ID 83704-8101 | 2015-04-21 |
| 1578955365 | Steven Kalina | In Home Supportive Care | 126 S Cole Rd, Boise, ID 83709-0932 | 2015-03-03 |
| 1144612938 | A Caring Hand, Canyon County | In Home Supportive Care | 2290 S Toluka Way, Boise, ID 83712-8551 | 2015-03-03 |
| 1699198242 | Addus Healthcare, Inc. | In Home Supportive Care | 545 N Benjamin Ln, Suite 125, Boise, ID 83704-9623 | 2014-01-31 |
| 1962832378 | Positive Energy LLC | In Home Supportive Care | 4003 W Glendale St, Boise, ID 83703-5117 | 2013-11-21 |
| 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.