OrganizationActive
Heartfelt Haven Assisted Living LLC
NPI 1649113309 · Intellectual Disabilities Intermediate Care Facility · Boise, ID
Provider details
- NPI number
- 1649113309
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jorden Black, Owner(208) 316-7357
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1212 S Longmont Ave
Boise, ID 83706-3645
Phone: (208) 316-7357
Approximate (ZIP-level) locationGet directions
Mailing address
1212 S Longmont Ave
Boise, ID 83706-3645
Registry dates
- Enumerated
- 2026-04-09
- Last updated
- 2026-04-16
- Certified
- 2026-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.