OrganizationActive
10250 W Smoke Ranch Drive Opco LLC
NPI 1396682894 · Assisted Living Facility · Boise, ID
Provider details
- NPI number
- 1396682894
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Authorized official
- Matt Gagnon, Director of Business Optimization
Mailing address
10250 W Smoke Ranch Dr
Boise, ID 83709-1467
Registry dates
- Enumerated
- 2026-05-01
- Last updated
- 2026-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.