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DEBORAH JEAN JACOBY
NPI 1508452491
Custodial Care Facility - Adult Care Home in Boise, ID

Active since December 15, 2020
115 W WILLOWAY DR, BOISE, ID 83705(208) 345-6625 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deborah Jean Jacoby NPPES

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

DEBORAH JEAN JACOBY (NPI 1508452491) is an individual adult care home provider in Boise, Idaho and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1508452491
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameDEBORAH JEAN JACOBY
Location Address115 W WILLOWAY DRBoise, ID 83705-5937
Mailing Address3930 W Pine AveBoise, ID 83703-4850 · (208) 608-6114
Phone(208) 345-6625
Sole ProprietorYes
Enumeration DateDecember 15, 2020
NPPES CertifiedDecember 15, 2020
✔ NPI 1508452491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Also ListedHome HealthTaxonomy 251E00000X
115 W WILLOWAY DR, Boise, ID 83705
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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 Deborah Jacoby's NPI number?

The NPI number for Deborah Jacoby is 1508452491. It was assigned to this individual provider in the NPPES registry on December 15, 2020.

Where is Deborah Jacoby located?

Deborah Jacoby practices at 115 W Willoway Dr, Boise, ID 83705. The listed phone number is (208) 345-6625.

What is Deborah Jacoby's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Deborah Jacoby was last updated on December 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.