Healthcare Provider Details

I. General information

NPI: 1164082210
Provider Name (Legal Business Name): BOISE HOME CARE INC. COMFORT KEEPERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2019
Last Update Date: 06/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7646 W LEMHI ST STE 4
BOISE ID
83709-2871
US

IV. Provider business mailing address

7646 W LEMHI ST STE 4
BOISE ID
83709-2871
US

V. Phone/Fax

Practice location:
  • Phone: 208-895-8822
  • Fax: 208-884-4116
Mailing address:
  • Phone: 208-895-8822
  • Fax: 208-884-4116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SONJIA YATES
Title or Position: OWNER
Credential:
Phone: 208-895-8822