MEDICARE: TOMORROW'S HOPE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	315P00000X	Intellectual Disabilities Intermediate Care Facility	13G047	ID
2	315P00000X	Intellectual Disabilities Intermediate Care Facility	13G033	ID
3	315P00000X	Intellectual Disabilities Intermediate Care Facility	13G014	ID
4	315P00000X	Intellectual Disabilities Intermediate Care Facility	13G061	ID
5	315P00000X	Intellectual Disabilities Intermediate Care Facility	13G038	ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689896805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOMORROW'S HOPE INC

Provider Business Mailing Address
First Line	:	1655 FAIRVIEW AVE
Second Line	:	SUITE 100
City	:	BOISE
State	:	ID
Zip	:	83702-0000
Country	:	US
Telephone Number	:	208-319-0760
Fax Number	:	208-319-0765

Provider Business Practice Location Address
First Line	:	1655 FAIRVIEW AVE
Second Line	:	SUITE 100
City	:	BOISE
State	:	ID
Zip	:	83702-0000
Country	:	US
Telephone Number	:	208-319-0760
Fax Number	:	208-319-0765

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	THAIR POND
Credential	:
Telephone Number	:	208-319-0760

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	08/22/2020

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Directions to “TOMORROW'S HOPE INC ” Practice Location

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