ALL DEVELOPMENTAL DISABILITY SERVICES (NPI# 1396907861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396907861 |
| Entity Type | Organization |
| Organization Name | ALL DEVELOPMENTAL DISABILITY SERVICES |
| Practice Address |
1350 S Vista Ave Boise ID 83705-2567 |
| Mailing Address |
2717 S Kimball Ave Caldwell ID 83605-5623 |
| Practice Telephone | 2084243160 |
| Practice Fax Number | 2084339794 |
| Mailing Telephone | 2084655114 |
| Mailing Fax Number | 2084655198 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2009-06-18 |
| Authorized Official Name | MS. MICHELLE A MITTON (PROGRAM ADMINISTRATOR) |
| Authorized Official Telephone | 2084655114 |
| Authorized Official Credential | B.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 808317200 | 05 | |
| ID | 808077800 | 05 | |
| ID | 808065601 | 05 | |
| ID | 808063100 | 05 | |
| ID | 808065600 | 05 | |
| ID | 808063101 | 05 | |
| ID | 808077801 | 05 |
| Street Address |
1350 S VISTA AVE |
| City | BOISE |
| State | ID |
| Zip Code | 83705-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1598265860 | Felica Jo Duce | Counselor | 921 S Orchard St Ste 103, Boise, ID 83705 | 2018-02-13 |
| 1215364278 | Erica Zelickowski | Pharmacist | 1653 S Vista Avenue, Boise, ID 83705 | 2013-10-04 |
| 1952655490 | Aida Dizdar-barac | Social Worker | 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 | 2012-11-06 |
| 1033461033 | Julie Marie Meek | Social Worker | 3324 W Elder St, Boise, ID 83705 | 2012-10-15 |
| 1568761112 | Berkeley Fraser | Pharmacist | 3527 S Federal Way Suite 104, Boise, ID 83705 | 2011-03-22 |
| 1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
| 1295056836 | Cherise M Wetzel | Social Worker | 1625 S Eagleson Rd, B1, Boise, ID 83705 | 2010-06-17 |
| 1558685305 | Rae Ann Norell | Social Worker | 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 | 2010-03-23 |
| 1164679932 | Oreana Harless | Social Worker | 2550 South Vista Ave, Boise, ID 83705 | 2008-08-25 |
| Find all providers in zip 83705 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992962211 | Community Partnerships of Idaho Inc | Clinic/Center | 3076 N Five Mile Rd, Boise, ID 83713-5215 | 2008-05-22 |
| 1538205935 | Developmental Concepts, Inc. | Clinic/Center | 8100 W Emerald St, Suite #170, Boise, ID 83704-9055 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801431572 | Bright Futures Children Services | Clinic/Center | 3910 S Yellowstone Hwy, Idaho Falls, ID 83402-4342 | 2019-11-16 |
| 1295388080 | Shannon Mooney | Clinic/Center | 376 5th St, Idaho Falls, ID 83401-4762 | 2019-07-20 |
| 1154589802 | Excellence In Everyone, LLC | Clinic/Center | 101 N Bridge St, Saint Anthony, ID 83445-5005 | 2008-05-29 |
| 1689885238 | Aspen Center Rehabilitation and Counseling LLC | Clinic/Center | 140 N. 1st E., Driggs, ID 83442 | 2007-05-25 |
| 1548471196 | Innovative Health Care Concepts, Inc | Clinic/Center | 267 Gladstone St, Idaho Falls, ID 83401-2511 | 2007-05-25 |
| 1598975658 | Innovative Health Care Concepts, Inc | Clinic/Center | 1545 S Boulevard, Idaho Falls, ID 83404-5926 | 2007-05-23 |
| 1972724623 | Community Partnerships of Idaho, Inc. | Clinic/Center | 9 Wall St, Nampa, ID 83651-3932 | 2007-05-01 |
| 1518188234 | Community Partnerships of Idaho, Inc. | Clinic/Center | 1201 Falls Ave E Ste 34, Twin Falls, ID 83301-3464 | 2007-05-01 |
| 1558986075 | Lotus Early Learning | Clinic/Center | 110 S Jackson St, Moscow, ID 83843-2038 | 2020-06-10 |
| 1902397227 | Inspired By You, LLC | Clinic/Center | 411 N 15th St, Coeur D Alene, ID 83814-5476 | 2018-05-22 |
| Find all providers with the same taxonomy | ||||
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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.