HOME AGAIN ICF


Address: 2311 E Aruba Ave, Nampa, ID 83686-1292
Phone: 2084613203

HOME AGAIN ICF (NPI# 1548594328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548594328
Entity Type Organization
Organization Name HOME AGAIN ICF
Practice Address 2311 E Aruba Ave
Nampa
ID 83686-1292
Mailing Address 2311 Aruba Dr
Nampa
ID 83686
Practice Telephone 2084613203
Practice Fax Number 2084613203
Mailing Telephone 2084613203
Mailing Fax Number 2084613203
Enumeration Date 2009-09-25
Last Update Date 2009-09-25
Authorized Official Name MRS. HEATHER LYN DAVIS (ADMINISTRATOR)
Authorized Official Telephone 2088631846
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 78 ID Residential Treatment Facilities

Office Location

Street Address 2311 E ARUBA AVE
City NAMPA
State ID
Zip Code 83686-1292

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1811369549 Anna Stoia Physician Assistant 4401 E. Tuscany Ave., Nampa, ID 83686 2015-10-21
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1174997878 Zion's Management LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 470 Rigby Lake Dr., Rigby, ID 83442 2015-11-18
1962018564 Access Behavioral Health Services, Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1276 W River St, Boise, ID 83702-7066 2020-09-18
1346791944 Renewed Horizons, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 8252 N Wayne Dr, Hayden, ID 83835-5029 2016-10-18
1811292915 Pearl Group Homes Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1740 E 17th St, Suite A, Idaho Falls, ID 83404-6375 2011-01-20
1356577019 Grand Teton Service Group Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 329 Park Ave, Idaho Falls, ID 83402-3610 2009-06-08
1548496201 Grand Teton Service Group Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 329 Park Ave, Idaho Falls, ID 83402-3610 2009-06-08
1417163650 The Arc, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4402 Albion St, Boise, ID 83705-1324 2007-05-15
1215143458 The Arc, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4402 Albion St, Boise, ID 83705-1324 2007-05-15
1518081223 Independence, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1230 N Skyline Dr, Ste. A, Idaho Falls, ID 83402-1720 2007-03-19
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City NAMPA
Zip Code 83686

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Dataset Information

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.

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