EXCEPTIONAL CHILD CENTER, INC. (NPI# 1225540537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225540537 |
| Entity Type | Organization |
| Organization Name | EXCEPTIONAL CHILD CENTER, INC. |
| Other Organization Name | CENTER FOR INDPENDENT LIVING |
| Practice Address |
1411 Falls Ave E Ste 703 Twin Falls ID 83301-3455 |
| Practice Telephone | 2087348973 |
| Practice Fax Number | 8663195722 |
| Mailing Telephone | 2087348973 |
| Mailing Fax Number | 8663195722 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | SHIELA J LEMMONS (OFFICE MANAGER) |
| Authorized Official Telephone | 2087348973 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1740303122 | 05 |
| Other Name | Type Code |
|---|---|
| Center for Indpendent Living | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154568822 | Exceptional Child Center, Inc. | Day Training, Developmentally Disabled Services | 1411 Falls Ave E Ste 703, Twin Falls, ID 83301-3455 | 2009-01-16 |
| 1740303122 | Exceptional Child Center, Inc. | Day Training, Developmentally Disabled Services | 1411 Falls Ave E, Suite 703, Twin Falls, ID 83301-3455 | 2007-04-09 |
| Street Address |
1411 FALLS AVE E STE 703 |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-3455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154568822 | Exceptional Child Center, Inc. | Day Training, Developmentally Disabled Services | 1411 Falls Ave E Ste 703, Twin Falls, ID 83301-3455 | 2009-01-16 |
| 1790202208 | Clearwater Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 1411 Falls Ave E Ste 703, Twin Falls, ID 83301-3455 | 2017-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881248789 | Aarow Bond Ellis | Day Training/Habilitation Specialist | 2961 Upper Pack River Rd, Sandpoint, ID 83864-4935 | 2019-07-29 |
| 1174721732 | Joseph Val Larsen | Day Training/Habilitation Specialist | 2257 Diane Lane, Pocatello, ID 83201-1911 | 2007-07-05 |
| 1770611584 | Ginger J Smart | Day Training/Habilitation Specialist | 1775 Waltman St, Meridian, ID 83642-6123 | 2007-03-01 |
| 1023667524 | Gem State Developmental Center LLC | Day Training/Habilitation Specialist | 818 Nw 15th St, Meridian, ID 83642-3724 | 2019-09-06 |
| 1760471262 | A Way Through Counseling Center Inc | Day Training/Habilitation Specialist | 306 N Spokane St, Suite I, Post Falls, ID 83854-7016 | 2005-10-18 |
| City | TWIN FALLS |
| Zip Code | 83301 |
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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.