Provider Demographics
NPI:1669358008
Name:HILAAC LLC
Entity type:Organization
Organization Name:HILAAC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NOOR
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDIRAZAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-838-0783
Mailing Address - Street 1:1201 W GROVE ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83702-7400
Mailing Address - Country:US
Mailing Address - Phone:602-838-0783
Mailing Address - Fax:
Practice Address - Street 1:1201 W GROVE ST
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-7400
Practice Address - Country:US
Practice Address - Phone:602-838-0783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities