ABUNDANCE BEHAVIORAL HEALTH SERVICES, INC (NPI# 1497116099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497116099 |
| Entity Type | Organization |
| Organization Name | ABUNDANCE BEHAVIORAL HEALTH SERVICES, INC |
| Practice Address |
524 Cleveland Blvd Ste 230 Caldwell ID 83605-4076 |
| Mailing Address |
524 E Cleveland Blvd Ste 230 Caldwell ID 83605 |
| Practice Telephone | 2084551222 |
| Practice Fax Number | 2084552559 |
| Mailing Telephone | 2084551222 |
| Mailing Fax Number | 2084552559 |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-10 |
| Authorized Official Name | MS. BEVERLY PHILLIPS (OWNER) |
| Authorized Official Telephone | 2084551222 |
| Authorized Official Credential | LSW-I |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | ID | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1669795308 | 05 |
| Street Address |
524 CLEVELAND BLVD STE 230 |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-4076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063548279 | Edward Allen Savala | Clinic/Center | 524 Cleveland Blvd, Ste. 110, Caldwell, ID 83605-4076 | 2007-02-24 |
| 1316304678 | Jeannie Dalton | Social Worker | 524 Cleveland Blvd, Caldwell, ID 83605-4076 | 2016-01-18 |
| 1861869786 | Abhs Inc | Case Management | 524 Cleveland Blvd, 230, Caldwell, ID 83605-4076 | 2015-08-26 |
| 1740689462 | Estella Acosta | Marriage & Family Therapist | 524 Cleveland Blvd, Caldwell, ID 83605-4076 | 2014-08-19 |
| 1144656596 | Sheila D Hancock | Social Worker | 524 Cleveland Blvd, Ste 230, Caldwell, ID 83605-4076 | 2013-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| 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 |
|---|---|---|---|---|
| 1669775060 | Abundance Behavioral Health Services Inc. | Day Training, Developmentally Disabled Services | 201 N 21st Ave, Caldwell, ID 83605-4371 | 2010-12-08 |
| 1477617165 | Canyon Creek Developmental Services | Day Training, Developmentally Disabled Services | 5214 Cleveland Blvd Ste G, Caldwell, ID 83607-8713 | 2006-12-20 |
| 1164646188 | Hope House, Inc. | Day Training, Developmentally Disabled Services | 3110 Cleveland Blvd, Suite B7, Caldwell, ID 83605-0718 | 2007-04-12 |
| 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.