P Praxis·MD
● Active Type 1 · Individual

Deborah Jean Jacoby

Custodial Care Facility·Boise, ID· NPI 1508452491 · Enumerated 2020 · 5 years on NPI
Jacoby is 1 of 1 custodial care facility providers in Boise and 1 of 22 in Idaho.
NPI age
5 years
Enumerated 2020-12-15
Primary specialty
Custodial Care Facility
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-12-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 22 active custodial care facility providers in Idaho.

NPI age
5 years
↑ 1 yr above median (3 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 27% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-12Enumerated in NPPES
2020 2026

Where they practice

Practice location
115 W Willoway Dr
Boise, ID 837055937
📞 2083456625
Mailing address
3930 W Pine Ave
Boise, ID 837034850
📞 2086086114

Specialties

  • Custodial Care Facility Primary
    A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in...
    taxonomy 311ZA0620X
  • Home Health
    A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language...
    taxonomy 251E00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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