10250 W Smoke Ranch Drive Opco LLC
NPI 1396682894ActiveOrganization· Assisted Living Facility· Boise, ID
Assisted Living Facility in Boise, Idaho, registered in NPPES in May 2026. The authorized official on file is Matt Gagnon, GAGNON, Director Of Business Optimization.
Overview
| NPI | 1396682894 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 1, 2026 |
| Last updated in NPPES | May 1, 2026 |
| Certified by provider | May 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
| Alzheimer Center (Dementia Center) | 311500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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