INTRINSIC HOLDINGS CORP (NPI# 1477016947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477016947 |
| Entity Type | Organization |
| Organization Name | INTRINSIC HOLDINGS CORP |
| Practice Address |
9006 E Cedar Point Ln Idaho Falls ID 83401-4834 |
| Mailing Address |
Po Box 1672 Idaho Falls ID 83403-1672 |
| Practice Telephone | 2087163259 |
| Mailing Telephone | 2087163259 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |
| Authorized Official Name | SHAWN JOHANSSON (DIRECTOR) |
| Authorized Official Telephone | 2087163259 |
| 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 |
| Street Address |
9006 E CEDAR POINT LN |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401-4834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1760783153 | Pearl Group Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1740 E 17th St, Suite A, Idaho Falls, ID 83404-6375 | 2010-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003145533 | Ambitions of Idaho, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 915 Parkcentre Way, Nampa, ID 83651-1745 | 2009-12-11 |
| 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 |
| 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 |
| 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 |
| 1871711861 | Communicare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2903 Cougar Ave, Nampa, ID 83687-9108 | 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 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
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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.