P Praxis·MD
● Active Type 2 · Organization

Benevolent Assisted Living Llc

Assisted Living Facility·Boise, ID· NPI 1477260636 · Enumerated 2022 · 3 years on NPI
Benevolent Assisted Living Llc is 1 of 201 assisted living facility organizations in Idaho.
NPI age
3 years
Enumerated 2022-10-27
Primary specialty
Assisted Living Facility
Plus 2 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Ruffner
Owner/administrator
Last NPPES update
2023-07-01
Source: monthly bulk 2026-05

How this organization compares

Across 201 active assisted living facility providers in Idaho.

NPI age
3 years
↓ 2 yr below median
Practice locations
2
1 secondary on file
Subspecialties
2
In the 9% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-10Enumerated in NPPES
2022 2026

Where they practice

Primary practice location
9976 W Pattie Dr
Boise, ID 837042900
📞 2088136449fax 2088136462
Mailing address
1532 W Powder Ct
Eagle, ID 836164876
📞 9868887684

Additional practice locations

1 secondary location on file with NPPES.

Location 2
779 S Tennyson Way
Boise, ID 837097738
📞 2083771656

Authorized official

Darryl Ray Ruffner
Owner/administrator
📞 2088136449

Specialties

  • Assisted Living Facility Primary
    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.
    taxonomy 310400000X
  • Hospice, Inpatient
    A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social,...
    taxonomy 315D00000X
  • Respite Care
    Definition to come.
    taxonomy 385H00000X

Identifiers

TypeValueNotes
05 (ID) DITPID018229

Other names on file (3)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Heirloom House
    Type code 3 recorded 2022-11-10
  • Brooklyn House
    Type code 3 recorded 2022-10-27
  • Heirloom House
    Type code 3 recorded 2022-10-27

Practice context

Multi-site organization. 1 additional practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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