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LEGACY VILLAGE OUTPATIENT ID, LLC
NPI 1225721707
Substance Abuse Rehabilitation Facility in Boise, ID

Active since May 31, 2023
800 W MAIN ST STE 1460, BOISE, ID 83702(800) 997-6977(661) 489-0573 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Village Outpatient Id, Llc NPPES

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

LEGACY VILLAGE OUTPATIENT ID, LLC (NPI 1225721707) is a healthcare organization registered as a substance abuse rehabilitation facility in Boise, Idaho and active in the NPI registry since May 2023. The organization lists Dennis Scott Farmer, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1225721707
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLEGACY VILLAGE OUTPATIENT ID, LLC
Location Address800 W MAIN ST STE 1460Boise, ID 83702-5983
Mailing Address800 W Main St Ste 1460Boise, ID 83702-5983 · (800) 997-6977 · Fax (661) 489-0573
Phone(800) 997-6977
Fax(661) 489-0573
Organization SubpartNo
Authorized OfficialDennis Scott FarmerChief Executive Officer · (800) 997-6977
Enumeration DateMay 31, 2023
NPPES CertifiedMay 31, 2023
✔ NPI 1225721707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
800 W MAIN ST STE 1460, Boise, ID 83702
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Other Providers at the Same Location NPPES 13

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

JEMERICUS LLC
Nurse Practitioner (Family)
800 W MAIN ST STE 1460
BOISE, ID 83702
Ada County (208) 297-4091
DANIELLE WAYNE LCSW, LISW
Counselor (Mental Health)
800 W MAIN ST STE 1460
BOISE, ID 83702
Ada County (208) 371-7213
LEGACY VILLAGE HQ, LLC
Substance Abuse Rehabilitation Facility
800 W MAIN ST STE 1460
BOISE, ID 83702
Ada County (800) 997-6977
DENTISTRY ONE OF IDAHO PC
Dentist (General Practice)
800 W MAIN ST STE 1460
BOISE, ID 83702
Ada County (877) 712-7875
JENNI KAY JENSEN ARNP-C
Nurse Practitioner (Family)
800 W MAIN ST STE 1460
BOISE, ID 83702
Ada County (208) 505-1179
WAYNE COUNSELING, LLC
Counselor (Mental Health)
800 W MAIN ST STE 1460
BOISE, ID 83702
Ada County (208) 371-7213
IDAHO ANESTHESIA PROFESSIONALS LLC
Anesthesiology
800 W MAIN ST STE 1460
BOISE, ID 83702
Ada County (888) 589-8550
ASC IDAHO LLC.
In Home Supportive Care
800 W MAIN ST STE 1460
BOISE, ID 83702
Ada County (208) 593-2093

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 Legacy Village Outpatient Id, LLC's NPI number?

The NPI number for Legacy Village Outpatient Id, LLC is 1225721707. It was assigned to this organization in the NPPES registry on May 31, 2023.

Where is Legacy Village Outpatient Id, LLC located?

Legacy Village Outpatient Id, LLC is located at 800 W Main St Ste 1460, Boise, ID 83702. The listed phone number is (800) 997-6977.

What is Legacy Village Outpatient Id, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Legacy Village Outpatient Id, LLC was last updated on May 31, 2023. 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.