HEIRLOOM HOUSE
NPI 1477260636
Assisted Living Facility in Boise, ID

Q: What is Benevolent Assisted Living LLC's NPI number?

The NPI number for Benevolent Assisted Living LLC is 1477260636. It was assigned to this organization in the NPPES registry on October 27, 2022. The provider is doing business as Heirloom House and Brooklyn House.

Q: What is Benevolent Assisted Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since October 27, 2022

9976 W PATTIE DR, BOISE, ID 83704(208) 813-6449(208) 813-6462 Get Directions Write a Review

NPPES record last updated: July 1, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 10, 2022, Oct 27, 2022 (2 updates tracked since 2022).

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About Heirloom House NPPES

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

HEIRLOOM HOUSE (NPI 1477260636) is a healthcare organization registered as an assisted living facility in Boise, Idaho and active in the NPI registry since October 2022. The organization maintains a secondary practice location in Boise and lists Darryl Ray Ruffner, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1477260636

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBENEVOLENT ASSISTED LIVING LLC

Location Address9976 W PATTIE DRBoise, ID 83704-2900

Mailing Address1532 W Powder CtEagle, ID 83616-4876 · (986) 888-7684

Phone(208) 813-6449

Fax(208) 813-6462

Organization SubpartNo

Authorized OfficialDarryl Ray RuffnerOwner/administrator · (208) 813-6449

Enumeration DateOctober 27, 2022

Last NPPES UpdateJuly 1, 20232 updates tracked since enumeration

NPPES CertifiedJuly 1, 2023

✔ NPI 1477260636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Also ListedHospice, InpatientTaxonomy 315D00000X

Also ListedRespite CareTaxonomy 385H00000X

9976 W PATTIE DR, Boise, ID 83704

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Other Names 2

Doing Business AsHeirloom House

Doing Business AsBrooklyn House

Secondary Practice Location 1

Location 1779 S Tennyson WayBoise, ID 83709-7738 · Phone (208) 377-1656

Other Identifiers 1

MedicaidDITPID018229ID

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 Benevolent Assisted Living LLC's NPI number?

The NPI number for Benevolent Assisted Living LLC is 1477260636. It was assigned to this organization in the NPPES registry on October 27, 2022. The provider is doing business as Heirloom House and Brooklyn House.

Where is Benevolent Assisted Living LLC located?

Benevolent Assisted Living LLC is located at 9976 W Pattie Dr, Boise, ID 83704. The listed phone number is (208) 813-6449.

What is Benevolent Assisted Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Benevolent Assisted Living LLC was last updated on July 1, 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.