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HUMAN SUPPORTS OF IDAHO INC. NPI 1558404129


NPI Information

NPI: 1558404129
Provider Name: HUMAN SUPPORTS OF IDAHO, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4477 W EMERALD ST
STE C-100
BOISE, ID
ZIP 83706
Phone: (208) 321-0160
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HUMAN SUPPORTS OF IDAHO, INC. is a community behavioral health in Boise, ID. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. HUMAN SUPPORTS OF IDAHO, INC. NPI is 1558404129. The provider is registered as an organization entity type.

The provider's business location address is:

4477 W EMERALD ST
STE C-100
BOISE, ID
ZIP 83706-000
Phone: (208) 321-0160
Fax: (208) 321-0221

The provider's authorized official is Gregory L Dickerson .
The authorized official title is Administrator and has the following contact phone number (208) 321-0160.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 12/18/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1002800000MEDICAIDIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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