Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grace Memory Care at State Street LLC

Organization Assisted Living Facility · NPI 1164046413

Grace Memory Care at State Street LLC is an Assisted Living Facility in Boise, Idaho. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9779 W State St
Boise, ID 83714-1638
Phone: (208) 853-3337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1164046413
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Hines — Owner · (208) 853-3337
NPI enumeratedJune 2, 2020
Last updated in NPPESJune 2, 2020
Certification dateJune 2, 2020
Mailing address890 N Cole Rd, Boise, ID 83704-8638

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