Heirloom House
LBN: Benevolent Assisted Living Llc
Heirloom House is an health care organization with primary practice located at 9976 W Pattie Dr , Boise ID 83704-2900. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Hospice, Inpatient, Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty.
Benevolent Assisted Living Llc can be contacted via phone (208) 813-6449, or through Ruffner, Darryl Ray via phone (208) 813-6449.
Contact Information
Primary practice address
9976 W Pattie Dr
Boise ID 83704-2900
Phone: (208) 813-6449
Fax: (208) 813-6462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | ||
| Nursing & Custodial Care Facilities / Hospice, Inpatient | 315D00000X | ||
| Respite Care Facility / Respite Care | 385H00000X |
Profile Details
| NPI number | 1477260636 |
|---|---|
| LBN Legal business name | Benevolent Assisted Living Llc |
| DBA Doing business as | Heirloom House |
| Authorized official | Ruffner, Darryl Ray |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 27th, 2022 |
| Last updated | Jul 1st, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477260636 | NPPES |
| Idaho | MEDICAID | DITPID018229 |
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