INCLUSION NORTH, INC. (NPI# 1487869798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487869798 |
| Entity Type | Organization |
| Organization Name | INCLUSION NORTH, INC. |
| Practice Address |
213 N Main St Suite #1 Moscow ID 83843-2700 |
| Mailing Address |
880 E Franklin Rd #303 Meridian ID 83642-6099 |
| Practice Telephone | 2088838041 |
| Practice Fax Number | 2088824079 |
| Mailing Telephone | 2088881758 |
| Mailing Fax Number | 2088958001 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT CHANEY (COMPTROLLER) |
| Authorized Official Telephone | 2088881758 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 2INCLUS003 | ID | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 8041864 | 05 |
| Street Address |
213 N MAIN ST SUITE #1 |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952942195 | Jessica Alexandra Cruz | Physician Assistant | 213 N Main St, Moscow, ID 83843-2700 | 2019-09-30 |
| 1205317856 | Sara B Presol | Nurse Practitioner | 213 N Main St, Moscow, ID 83843-2700 | 2018-08-22 |
| 1851663512 | Optic Art IIi, Pllc | Optometrist | 213 N Main St, Moscow, ID 83843-2700 | 2012-01-27 |
| 1376857862 | Providence Health & Services | Internal Medicine | 213 N Main St, Moscow, ID 83843-2700 | 2010-07-27 |
| 1093946097 | Optic Art II, P.C. | Optometrist | 213 N Main St, Moscow, ID 83843-2700 | 2009-08-07 |
| 1255510442 | Deborah Wynne Medel | Nurse Practitioner | 213 N Main St, Moscow, ID 83843-2700 | 2007-10-24 |
| 1407069438 | Inclusion North, Inc | Nursing Care | 213 N Main St, Suite #1, Moscow, ID 83843-2700 | 2007-05-07 |
| 1871646976 | Moscow Medical, P.a. | Family Medicine | 213 N Main St, Moscow, ID 83843-2700 | 2007-01-19 |
| 1265503320 | Rodger Dean Robertson | Optometrist | 213 N Main St, Moscow, ID 83843-2700 | 2006-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| Find all providers in zip 83843 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871708289 | Gritman Medical Center Inc | Day Training, Developmentally Disabled Services | 324 S Cleveland St, Moscow, ID 83843-3768 | 2007-05-11 |
| 1558482711 | C and R Incorporation | Day Training, Developmentally Disabled Services | 1107 S Logan St, Moscow, ID 83843-3124 | 2007-04-03 |
| 1073790309 | C and R Inc. | Day Training, Developmentally Disabled Services | 1107 S Logan St, Moscow, ID 83843-3124 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477086114 | Teton Supported Living LLC | Day Training, Developmentally Disabled Services | 4101 N Creswell Way, Boise, ID 83713-2404 | 2017-04-10 |
| 1962889055 | Community Connections South Central | Day Training, Developmentally Disabled Services | 212 2nd Ave W, #102 & 104, Twin Falls, ID 83301-6016 | 2015-04-28 |
| 1154714897 | Phoenix Management LLC | Day Training, Developmentally Disabled Services | 10991 Deerridge Dr., Chubbuck, ID 83202 | 2015-03-05 |
| 1902205230 | Andrea Loban | Day Training, Developmentally Disabled Services | 5049 Fox Creek Hollow, Victor, ID 83455-0000 | 2014-08-22 |
| 1336570118 | Independent Living Specialists, LLC | Day Training, Developmentally Disabled Services | 379 Yellowstone Ave, Pocatello, ID 83201-4529 | 2013-12-04 |
| 1871935064 | Community Connections North, Inc. | Day Training, Developmentally Disabled Services | 1230 N Northwood Center Ct, Suite A, Coeur D Alene, ID 83814-4941 | 2013-07-29 |
| 1851734107 | Foundations for Independence LLC | Day Training, Developmentally Disabled Services | 2316 N Cole Rd Ste C, Boise, ID 83704-7365 | 2013-04-16 |
| 1679816912 | A New Hope, LLC | Day Training, Developmentally Disabled Services | 19b Mountain Dr, Pocatello, ID 83204 | 2013-04-05 |
| 1457694176 | A Plus Solutions Center | Day Training, Developmentally Disabled Services | 2311 Park Ave, Unit 3, Suite 12, Burley, ID 83318-2104 | 2013-04-01 |
| 1518208966 | Learning Garden Developmental Preschool | Day Training, Developmentally Disabled Services | 412 E Mullan Ave, Post Falls, ID 83854-7641 | 2013-03-11 |
| 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.