AMBITIONS OF IDAHO, INC (NPI# 1003145533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003145533 |
Entity Type | Organization |
Organization Name | AMBITIONS OF IDAHO, INC |
Other Organization Name | AMBITIONS |
Practice Address |
915 Parkcentre Way Nampa ID 83651-1745 |
Mailing Address |
511 N Argonne Rd Ste 200 Spokane Valley WA 99212-2878 |
Practice Telephone | 2084630110 |
Practice Fax Number | 2084630330 |
Mailing Telephone | 5093140414 |
Mailing Fax Number | 5093211699 |
Enumeration Date | 2009-12-11 |
Last Update Date | 2009-12-11 |
Authorized Official Name | ROBERT WELLS (CONTROLLER) |
Authorized Official Telephone | 5097553158 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 8079051 | 05 |
Other Name | Type Code |
---|---|
Ambitions | Doing Business As Name - Organization |
Street Address |
915 PARKCENTRE WAY |
City | NAMPA |
State | ID |
Zip Code | 83651-1745 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699296426 | Kari Aimee Angle | Counselor | 915 Parkcentre Way, Nampa, ID 83651-1745 | 2017-07-01 |
1558815449 | Erika Moe | Counselor | 915 Parkcentre Way, Suite 7, Nampa, ID 83651-1745 | 2016-08-08 |
1376931543 | Todd David Rainsdon | Social Worker | 915 Parkcentre Way, Suite 7, Nampa, ID 83651-1745 | 2014-12-22 |
1225454085 | Maria C Flores | Counselor | 915 Parkcentre Way, Suite 7, Nampa, ID 83651-1745 | 2014-03-17 |
1518397355 | Brian Mount-walker | Counselor | 915 Parkcentre Way, Nampa, ID 83651-1745 | 2013-11-14 |
1215360631 | Jenny Lee Doty | Social Worker | 915 Parkcentre Way, Suite 7, Nampa, ID 83651-1745 | 2013-08-21 |
1609159797 | Shanna Branham | Social Worker | 915 Parkcentre Way, Suite 7, Nampa, ID 83651-1745 | 2011-09-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376090985 | Stephen Michael Wren | Physician Assistant | 11035 W Karcher Rd, Nampa, ID 83651 | 2016-09-01 |
1104203157 | Jeremy Thorson | Social Worker | 456 West Orchard Ave., Apt D305, Nampa, ID 83651 | 2015-04-29 |
1134527708 | Community Health Clinics Inc | Clinic/Center | 207 1st Street S, Nampa, ID 83651 | 2014-12-15 |
1326455429 | Michelle Murchie | Pharmacist | 175 S. Middleton Rd, Nampa, ID 83651 | 2014-07-21 |
1700215373 | Stanley A Gillett | Chiropractor | 107 14th Ave S, Nampa, ID 83651 | 2013-11-04 |
1477996205 | James L Fries | Counselor | 847 Park Centre Way, Suite 5, Nampa, ID 83651 | 2013-04-11 |
1023367240 | Erin Westfall | Speech-Language Pathologist | 168 Mcclure Avenue, Nampa, ID 83651 | 2012-09-04 |
1487949475 | Erik Steven Linn | Family Medicine | 11035 W. Karcher Road, Nampa, ID 83651 | 2011-06-17 |
1720398647 | At Your Service Home Health Care LLC | In Home Supportive Care | 321 2nd St S Ste 103, Nampa, ID 83651 | 2010-10-13 |
1144544206 | Petra Morrison | Community/Behavioral Health | 1031 W. Sanetta St., Nampa, ID 83651 | 2010-03-18 |
Find all providers in zip 83651 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174742217 | Communicare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1210 W Boone Ave, Nampa, ID 83651-1815 | 2007-04-25 |
1891913026 | Communicare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 32 N Gem St, Nampa, ID 83651-2267 | 2007-04-23 |
1871711861 | Communicare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2903 Cougar Ave, Nampa, ID 83687-9108 | 2007-04-23 |
1780076067 | Centerpointe, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 915 Parkcentre Way Ste 7, Nampa, ID 83651-1748 | 2015-02-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477016947 | Intrinsic Holdings Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9006 E Cedar Point Ln, Idaho Falls, ID 83401-4834 | 2019-04-10 |
1578724910 | Grand Teton Service Group | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 329 Park Ave, Idaho Falls, ID 83402-3610 | 2008-06-18 |
1861687329 | Seven Oaks Community Homes, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 583 N Larri Lee St, Post Falls, ID 83854 | 2007-09-07 |
1467670448 | Communicare, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 180 E Park St, Weiser, ID 83672-2011 | 2007-04-23 |
1093933186 | Communicare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2650 S Pond St, Boise, ID 83705-3839 | 2007-04-23 |
1053539163 | Communicare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4150 Leland Way, Boise, ID 83709-4606 | 2007-04-23 |
1053539189 | Communicare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 750 Swan Falls Rd, Kuna, ID 83634-2334 | 2007-04-23 |
1063630051 | Communicare, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1118 N Lincoln Ave, Jerome, ID 83338-1855 | 2007-04-23 |
1972648012 | Rogler Farm Group Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Rogler Farm Road, Smithfield, ID 02917-1219 | 2007-02-20 |
1710025481 | Seven Oaks Community Homes, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3940 W 5th Ave, Post Falls, ID 83854-7324 | 2007-02-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.