OrganizationActive
Boise Group Homes, Inc.
NPI 1003955535 · Intellectual Disabilities Intermediate Care Facility · Boise, ID
Provider details
- NPI number
- 1003955535
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Richard Davis, Administrator(208) 376-1861
- License
- 17 (ID)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
8310 Ustick Rd
Boise, ID 83704-5757
Phone: (208) 376-1861
Fax: (208) 376-1869
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4243
Boise, ID 83711-4243
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.