Healthcare Provider Details

I. General information

NPI: 1093202095
Provider Name (Legal Business Name): INTERNATIONAL RESCUE COMMITTEE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2018
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7291 W FRANKLIN RD
BOISE ID
83709-0926
US

IV. Provider business mailing address

7291 W FRANKLIN RD
BOISE ID
83709-0926
US

V. Phone/Fax

Practice location:
  • Phone: 208-344-1792
  • Fax:
Mailing address:
  • Phone: 208-344-1792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MYJA MAKI
Title or Position: EXTENDED SERVICES MANAGER
Credential:
Phone: 208-861-1050