Heartfelt Haven Assisted Living LLC
NPI 1649113309ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Boise, ID
Intermediate Care Facility, Intellectual Disabilities in Boise, Idaho, registered in NPPES in April 2026. The authorized official on file is Jorden Tesh Black, RN, BSN, MBA, Owner.
Overview
| NPI | 1649113309 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 9, 2026 |
| Last updated in NPPES | Apr 16, 2026 |
| Certified by provider | Apr 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | — | — |
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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