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Contact Information

TRINITY ASSISTED LIVING OF IDAHO, INC
12423 W LEWIS AND CLARK DR
BOISE, ID83713-0014
 Phone: 208-810-3843
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
 

Adult Day Care

261QA0600X
 

Assisted Living, Behavioral Disturbances

3104A0630X
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for TRINITY ASSISTED LIVING OF IDAHO, INC

NPI # 1881433852
LBN Legal business name TRINITY ASSISTED LIVING OF IDAHO, INC
Authorized official ELISHIA SMITH - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/21/2024
Last updated 06/24/2025 - About 12 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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