BLAIR LEGACY, LLC


Address: 554 N Steelhead Way Ste 180, Boise, ID 83704-8388
Phone: 2085156522

BLAIR LEGACY, LLC (NPI# 1952940041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952940041
Entity Type Organization
Organization Name BLAIR LEGACY, LLC
Practice Address 554 N Steelhead Way Ste 180
Boise
ID 83704-8388
Practice Telephone 2085156522
Mailing Telephone 2085156522
Enumeration Date 2020-01-06
Last Update Date 2020-01-06
Authorized Official Name SHAYLA R MONNIER (OWNER)
Authorized Official Telephone 2089720018
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 372600000X Adult Companion Nursing Service Related Providers
N 376J00000X Homemaker Nursing Service Related Providers
Y 253Z00000X In Home Supportive Care Agencies

Other Provider/Organization Names

Other Name Type Code
Blair Legacy Companion Care Doing Business As Name - Organization

Office Location

Street Address 554 N STEELHEAD WAY STE 180
City BOISE
State ID
Zip Code 83704-8388

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1699307124 Isabel Burns Bruce Registered Nurse 777 N Raymond Street, Boise, ID 83704 2020-02-12
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1053960286 Kyle Hiromi Hatanaka Acupuncturist 9450 #120 Fairview Avenue, Boise, ID 83704 2019-09-10
1700447141 Katie Elizabeth Nichols Physician Assistant 1072 N Liberty St Ste 201, Boise, ID 83704 2019-06-26
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1477072270 Matthew Lee Love Non-emergency Medical Transport (VAN) 6933 W. Stratton St, Boise, ID 83704 2017-09-12
1942735949 Dalana Sue Thompson Counselor 9196 Emerald St Suite #130, Boise, ID 83704 2017-04-27
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Taxonomy Information

Taxonomy Code 253Z00000X
Grouping Agencies
Classification In Home Supportive Care

Taxonomy Definition

An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114546223 Treasure Valley Home Care Services L.L.C. In Home Supportive Care 13334 W Persimmon St, Boise, ID 83713-0860 2020-04-09
1609430446 Peak Moments Inc. In Home Supportive Care 800 W Main St Ste 1460, Boise, ID 83702-5983 2019-04-26
1902305758 1 A Advanced International Home Care LLC In Home Supportive Care 2645 N Cole Rd Ste F, Boise, ID 83704-5970 2018-02-07
1841798857 Havenwood Caregiver Services of Idaho, LLC In Home Supportive Care 2417 N Cole Rd, Boise, ID 83704-5907 2018-01-24
1174051262 Select Concierge Corp. In Home Supportive Care 1655 W Fairview Ave Ste 202, Boise, ID 83702-5190 2017-06-01
1932568938 Yves Ndayishimiye In Home Supportive Care 1630 W Rossi St, Boise, ID 83706-3354 2016-02-18
1063809648 Res-care Washington, Inc. In Home Supportive Care 9490 W Fairview Ave, Boise, ID 83704-8101 2015-04-21
1578955365 Steven Kalina In Home Supportive Care 126 S Cole Rd, Boise, ID 83709-0932 2015-03-03
1144612938 A Caring Hand, Canyon County In Home Supportive Care 2290 S Toluka Way, Boise, ID 83712-8551 2015-03-03
1699198242 Addus Healthcare, Inc. In Home Supportive Care 545 N Benjamin Ln, Suite 125, Boise, ID 83704-9623 2014-01-31
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Competitor

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City BOISE
Zip Code 83704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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