OrganizationActive
Prime Providers Id LLC
NPI 1063124428 · In Home Supportive Care Agency · Boise, ID
Prime Providers Id LLC is a In Home Supportive Care Agency organization in Boise, ID (NPI 1063124428).
Provider details
- NPI number
- 1063124428
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jonathan Sassover, Authorized Signatory(818) 377-6202
Specialties & taxonomies
Agencies
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
950 W Bannock St Ste 1100
Boise, ID 83702-6140
Phone: (208) 900-6330
Street-level locationGet directions
Mailing address
4200 Sepulveda Blvd Ste 101
Culver City, CA 90230-4742
Registry dates
- Enumerated
- 2022-12-16
- Last updated
- 2022-12-16
- Certified
- 2022-12-16
Frequently asked questions
- What is Prime Providers Id LLC's NPI number?
- Prime Providers Id LLC's National Provider Identifier (NPI) is 1063124428, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Providers Id LLC?
- Prime Providers Id LLC is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Prime Providers Id LLC located?
- Prime Providers Id LLC's practice location on file with NPPES is 950 W Bannock St Ste 1100, Boise, ID 83702-6140.
- What is Prime Providers Id LLC's phone number?
- The practice phone number listed in the NPPES registry for Prime Providers Id LLC is (208) 900-6330.
- Who is the authorized official for Prime Providers Id LLC?
- The authorized official listed on Prime Providers Id LLC's NPPES record is Jonathan Sassover, Authorized Signatory. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Providers Id LLC's NPI active?
- Yes — Prime Providers Id LLC's NPI (1063124428) is active in the NPPES registry as of the last update on 2022-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.