MICHAEL BOESE
NPI 1619747276
Assisted Living Facility in Lodi, CA

Q: What is Michael Boese's NPI number?

The NPI number for Michael Boese is 1619747276. It was assigned to this individual provider in the NPPES registry on January 4, 2024.

Q: What is Michael Boese's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Boese was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 04, 2024

1330 W WALNUT ST, LODI, CA 95242(916) 524-3521 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael Boese NPPES

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

MICHAEL BOESE (NPI 1619747276) is an individual assisted living facility provider in Lodi, California, licensed in California (397005496) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1619747276

Entity TypeIndividualMale

Primary Taxonomy310400000X

Provider Legal NameMICHAEL BOESE

Location Address1330 W WALNUT STLodi, CA 95242-3025

Mailing Address2750 E Collier RdAcampo, CA 95220-9201 · (916) 524-3521

Phone(916) 524-3521

Sole ProprietorYes

Enumeration DateJanuary 4, 2024

NPPES CertifiedJanuary 4, 2024

✔ NPI 1619747276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in CA · 397005496

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.

1330 W WALNUT ST, Lodi, CA 95242

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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 Michael Boese's NPI number?

The NPI number for Michael Boese is 1619747276. It was assigned to this individual provider in the NPPES registry on January 4, 2024.

Where is Michael Boese located?

Michael Boese practices at 1330 W Walnut St, Lodi, CA 95242. The listed phone number is (916) 524-3521.

What is Michael Boese'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 Michael Boese was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.