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BOISE GROUP HOMES, INC.
NPI 1003955535
Intermediate Care Facility, Intellectual Disabilities in Boise, ID

Active since February 05, 2007CLIA 13D1064879 · Waiver
8310 USTICK RD, BOISE, ID 83704(208) 376-1861(208) 376-1869 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Boise Group Homes, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOISE GROUP HOMES, INC. (NPI 1003955535) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Boise, Idaho and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through February 14, 2027 and lists Richard Davis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1003955535
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameBOISE GROUP HOMES, INC.
Location Address8310 USTICK RDBoise, ID 83704-5757
Mailing AddressPo Box 4243Boise, ID 83711-4243
Phone(208) 376-1861
Fax(208) 376-1869
Organization SubpartNo
Authorized OfficialRichard DavisAdministrator · (208) 376-1861
Enumeration DateFebruary 5, 2007
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1003955535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in ID · 17
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
8310 USTICK RD, Boise, ID 83704
Open in Google Maps ↗

Other Identifiers 1

Medicaid002492800ID

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D1064879

Boise Group Homes · Boise, ID
Active · expires Feb 14, 2027
CLIA Number13D1064879
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorShawna L. Ricketts
Laboratory Phone(208) 376-1861
Laboratory LocationBoise Group Homes5440 W Franklin Rd #100, Boise, ID 83705
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOISE GROUP HOMES, INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
8310 USTICK RD, #300
BOISE, ID 83704
Ada County (208) 376-1861
BOISE GROUP HOMES, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
8310 USTICK RD
BOISE, ID 83704
Ada County (208) 376-1861
BOISE GROUP HOMES, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
8310 USTICK RD
BOISE, ID 83704
Ada County (208) 376-1861

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boise Group Homes, Inc.'s NPI number?

The NPI number for Boise Group Homes, Inc. is 1003955535. It was assigned to this organization in the NPPES registry on February 5, 2007.

Where is Boise Group Homes, Inc. located?

Boise Group Homes, Inc. is located at 8310 Ustick Rd, Boise, ID 83704. The listed phone number is (208) 376-1861.

What is Boise Group Homes, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Boise Group Homes, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D1064879) is associated with this NPI, valid through February 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Boise Group Homes, Inc. was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.