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ESSENTIAL LIFE BOISE, LLC
NPI 1669727400
Clinic/Center - Medical Specialty in Boise, ID

Active since July 18, 2012
13125 W PERSIMMON LN, SUITE 100, BOISE, ID 83713(208) 991-0352 Get Directions Write a Review

NPPES record last updated: July 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Essential Life Boise, Llc NPPES

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

ESSENTIAL LIFE BOISE, LLC (NPI 1669727400) is a healthcare organization registered as a medical specialty in Boise, Idaho and active in the NPI registry since July 2012. The organization lists Yvonne Fedewa, Owner, as its authorized official.

NPPES Registry Identity

NPI1669727400
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameESSENTIAL LIFE BOISE, LLC
Location Address13125 W PERSIMMON LN, SUITE 100Boise, ID 83713
Mailing Address13125 W Persimmon Ln, Suite 100Boise, ID 83713
Phone(208) 991-0352
Organization SubpartNo
Authorized OfficialYvonne FedewaOwner · (208) 991-0352
Enumeration DateJuly 18, 2012
✔ NPI 1669727400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in ID · CHIA1466
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
13125 W PERSIMMON LN, Boise, ID 83713
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Other Providers at the Same Location NPPES 2

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

DR. YVONNE ROSE FEDEWA AICHER D.C.
Chiropractor
13125 W PERSIMMON LN, SUITE 100
BOISE, ID 83713
Ada County (208) 991-0352
ESSENTIAL LIFE BOISE
Clinic/Center (Medical Specialty)
13125 W PERSIMMON LN, STE 100
BOISE, ID 83713
Ada County (208) 991-0352

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 Essential Life Boise, LLC's NPI number?

The NPI number for Essential Life Boise, LLC is 1669727400. It was assigned to this organization in the NPPES registry on July 18, 2012.

Where is Essential Life Boise, LLC located?

Essential Life Boise, LLC is located at 13125 W Persimmon Ln Suite 100, Boise, ID 83713. The listed phone number is (208) 991-0352.

What is Essential Life Boise, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Essential Life Boise, LLC was last updated on July 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.