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PRIME PROVIDERS ID LLC
NPI 1063124428
In Home Supportive Care in Boise, ID

Active since December 16, 2022
950 W BANNOCK ST STE 1100, BOISE, ID 83702(208) 900-6330 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prime Providers Id Llc NPPES

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

PRIME PROVIDERS ID LLC (NPI 1063124428) is a healthcare organization registered as an in home supportive care in Boise, Idaho and active in the NPI registry since December 2022. The organization lists Jonathan Sassover, Authorized Signatory, as its authorized official.

NPPES Registry Identity

NPI1063124428
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NamePRIME PROVIDERS ID LLC
Location Address950 W BANNOCK ST STE 1100Boise, ID 83702-6140
Mailing Address4200 Sepulveda Blvd Ste 101Culver City, CA 90230-4742
Phone(208) 900-6330
Organization SubpartNo
Authorized OfficialJonathan SassoverAuthorized Signatory · (818) 377-6202
Enumeration DateDecember 16, 2022
NPPES CertifiedDecember 16, 2022
✔ NPI 1063124428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
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.
950 W BANNOCK ST STE 1100, Boise, ID 83702
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Other Providers at the Same Location NPPES 20

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

ABS HOSPICE CARE INC
Hospice Care, Community Based
950 W BANNOCK ST STE 1100
BOISE, ID 83702
Ada County (208) 296-6336
MARGARET E JOHNSON MSN, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
950 W BANNOCK ST STE 1100
BOISE, ID 83702
Ada County (833) 351-8255
PERMA MENTAL HEALTH PLLC
Psychiatry & Neurology (Psychiatry)
950 W BANNOCK ST STE 1100, STE. 1100
BOISE, ID 83702
Ada County (208) 996-1700
HAVEN EEOI HOLDINGS LLC
Home Health
950 W BANNOCK ST STE 1100
BOISE, ID 83702
Ada County (888) 891-0786
MRS. BREANNA MARIE ZOLD MAC
Counselor (Mental Health)
950 W BANNOCK ST STE 1100
BOISE, ID 83702
Ada County (323) 205-7088
DAVID E. NILSSON, PH.D., P.C.
Clinical Neuropsychologist
950 W BANNOCK ST STE 1100
BOISE, ID 83702
Ada County (208) 947-5368
EVERNORTH CARE PROVIDERS - ARIZONA PC
General Practice
950 W BANNOCK ST STE 1100
BOISE, ID 83702
Ada County (773) 292-4800
MOMBA HOME CARE IDAHO, LLC
In Home Supportive Care
950 W BANNOCK ST STE 1100
BOISE, ID 83702
Ada County (800) 553-3495

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 Prime Providers Id LLC's NPI number?

The NPI number for Prime Providers Id LLC is 1063124428. It was assigned to this organization in the NPPES registry on December 16, 2022.

Where is Prime Providers Id LLC located?

Prime Providers Id LLC is located at 950 W Bannock St Ste 1100, Boise, ID 83702. The listed phone number is (208) 900-6330.

What is Prime Providers Id LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Prime Providers Id LLC was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.