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Mcnicholas, LLC — NPI 1356089973, Boise, ID | NPI Central

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NPI 1356089973

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Mcnicholas, LLC

NPI 1356089973 · Home Infusion Agency · Boise, ID

Provider details

NPI number: 1356089973
Entity type: Organization
Primary specialty: Home Infusion AgencyAgencies
Organization subpart: No
Authorized official: James Mcnicholas, Managing Member(623) 670-1625

Specialties & taxonomies

Home Infusion AgencyPrimary251F00000X
Agencies
Home Infusion Therapy Pharmacy3336H0001X
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Parenteral & Enteral Nutrition Supplies (DME)332BP3500X
Suppliers
Pharmacy333600000X
Suppliers

Practice location

12828 W Lasalle St Ste 101

Boise, ID 83713-1517

Phone: (623) 670-1625

Fax: (208) 579-5662

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

12828 W Lasalle St Ste 101

Boise, ID 83713-1517

Other names (DBA / former)

Doing business as: Vital Care of Boise
Doing business as: Vital Care of Boise

Registry dates

Enumerated: 2022-05-24
Last updated: 2025-11-06
Certified: 2025-11-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.