Provider Demographics
NPI:1275643355
Name:BOST, INC.
Entity Type:Organization
Organization Name:BOST, INC.
Other - Org Name:BOST C.A.R.E.S.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:STOUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-478-5609
Mailing Address - Street 1:PO BOX 11495
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72917-1495
Mailing Address - Country:US
Mailing Address - Phone:479-478-5609
Mailing Address - Fax:501-897-8339
Practice Address - Street 1:7701 S ZERO ST
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-6644
Practice Address - Country:US
Practice Address - Phone:479-784-1462
Practice Address - Fax:479-784-1471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA1204035101Y00000X
251C00000X
AR1275643355253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR109365213OtherLONG TERM CARE MEDICAID
AR105894724Medicaid
AR125833767Medicaid
AR119694213OtherLONG TERM CARE MEDICAID
AR133310782Medicaid
AR149998775Medicaid
AR177755526Medicaid
AR109364213OtherLONG TERM CARE MEDICAID
AR132538786OtherSTATE MEDICAID
AR178138724Medicaid
AR119694213OtherLONG TERM CARE MEDICAID
AR132538786OtherSTATE MEDICAID
AR155533732Medicaid
AR177755526Medicaid