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GSDED IDAHO LLC
NPI 1386467637
Home Health in Boise, ID

Active since November 05, 2024CLIA 46D2237020 · Waiver
1010 S ALLANTE PL STE 102, BOISE, ID 83709(208) 938-9681 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gsded Idaho Llc NPPES

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

GSDED IDAHO LLC (NPI 1386467637), doing business as Interim Healthcare Of Idaho, is a healthcare organization registered as a home health in Boise, Idaho and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through September 21, 2027 and lists Michael Hawkins, Owner, as its authorized official.

NPPES Registry Identity

NPI1386467637
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameGSDED IDAHO LLC
Location Address1010 S ALLANTE PL STE 102Boise, ID 83709-1660
Mailing Address1010 S Allante Pl Ste 102Boise, ID 83709-1660
Phone(208) 938-9681
Organization SubpartNo
Authorized OfficialMichael HawkinsOwner · (801) 401-3515
Enumeration DateNovember 5, 2024
NPPES CertifiedNovember 5, 2024
✔ NPI 1386467637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1010 S ALLANTE PL STE 102, Boise, ID 83709
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Other Names 1

Doing Business AsInterim Healthcare Of Idaho

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 46D2237020

Gsded, LLC Dba Interim Healthcare Slc · Salt Lake City, UT
Active · expires Sep 21, 2027
CLIA Number46D2237020
Laboratory TypeAirport Emp Covid Test
Certificate Effective DateSeptember 22, 2025
Certificate Expiration DateSeptember 21, 2027
Laboratory DirectorMichael F. Hawkins
Laboratory Phone(801) 401-3515
Laboratory LocationGsded, LLC Dba Interim Healthcare Slc2020 S 1300 E, Ste C, Salt Lake City, UT 84105
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Gsded Idaho LLC's NPI number?

The NPI number for Gsded Idaho LLC is 1386467637. It was assigned to this organization in the NPPES registry on November 5, 2024. The provider is doing business as Interim HealthCare of Idaho.

Where is Gsded Idaho LLC located?

Gsded Idaho LLC is located at 1010 S Allante Pl Ste 102, Boise, ID 83709. The listed phone number is (208) 938-9681.

What is Gsded Idaho LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Gsded Idaho LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2237020) is associated with this NPI, valid through September 21, 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 Gsded Idaho LLC was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.