SANDRA SULLIVAN
NPI 1568127124
Technician - Personal Care Attendant in Boise, ID

Active since November 08, 2021
6700 W OVERLAND RD, BOISE, ID 83709(208) 319-4587(208) 377-3883 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandra Sullivan NPPES

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

SANDRA SULLIVAN (NPI 1568127124) is an individual personal care attendant in Boise, Idaho and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1568127124
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameSANDRA SULLIVAN
Location Address6700 W OVERLAND RDBoise, ID 83709-2032
Mailing Address6700 W Overland RdBoise, ID 83709-2032 · (208) 319-4587 · Fax (208) 377-3883
Fax(208) 377-3883
Sole ProprietorNo
Enumeration DateNovember 8, 2021
NPPES CertifiedNovember 8, 2021
NPI 1568127124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
6700 W OVERLAND RD, Boise, ID 83709

Other Identifiers 1

MedicaidA0000141ID

Other Providers at the Same Location NPPES 4

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

Home Health
6700 W OVERLAND RD
BOISE, ID 83709
Emergency Response System Companies
6700 W OVERLAND RD
BOISE, ID 83709
Emergency Response System Companies
6700 W OVERLAND RD
BOISE, ID 83709
Hearing Aid Equipment
6700 W OVERLAND RD
BOISE, ID 83709

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 Sandra Sullivan's NPI number?

The NPI number for Sandra Sullivan is 1568127124. It was assigned to this individual provider in the NPPES registry on November 8, 2021.

Where is Sandra Sullivan located?

Sandra Sullivan practices at 6700 W Overland Rd, Boise, ID 83709. The listed phone number is (208) 319-4587.

What is Sandra Sullivan's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Sandra Sullivan was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.