EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC.


Address: 5242 South 4820 West, Att Janet Wade, Kearns, UT 84118
Phone: 8016332091

EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC. (NPI# 1558593830) 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) 1558593830
Entity Type Organization
Organization Name EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC.
Other Organization Name ESGW EARLY INTERVENTION PROGRAM
Practice Address 5242 South 4820 West
Att Janet Wade
Kearns
UT 84118
Mailing Address 425 1st Ave N
Great Falls
MT 59401-2507
Practice Telephone 8016332091
Mailing Telephone 4067613680
Mailing Fax Number 4067611390
Enumeration Date 2009-08-20
Last Update Date 2019-03-26
Authorized Official Name MARK SHERMAN (CFO)
Authorized Official Telephone 4067713762
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 252Y00000X Early Intervention Provider Agency Agencies

Other Provider/Organization Names

Other Name Type Code
ESGW EARLY INTERVENTION PROGRAM Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1730204116 Easterseals-goodwill Northern Rocky Mountain, Inc. Community/Behavioral Health 1465 S Vinnell Way, Boise, ID 83709-1659 2007-03-21
1558486951 Easterseals-goodwill Northern Rocky Mountain, Inc. Community/Behavioral Health 1607 N Parkcentre Pl, Nampa, ID 83651-1705 2007-03-21
1326137381 Easterseals-goodwill Northern Rocky Mountain, Inc. Day Training, Developmentally Disabled Services 4400 Central Ave, Great Falls, MT 59405-1695 2006-10-11
1386144798 Easterseals-goodwill Northern Rocky Mountain, Inc. Hospice Care, Community Based 425 1st Ave N, Great Falls, MT 59401-2507 2018-02-13
1386959575 Easterseals-goodwill Northern Rocky Mountain, Inc. Occupational Therapist 350 S 400 E, Salt Lake City, UT 84111-2908 2010-08-11
1770715062 Easterseals-goodwill Northern Rocky Mountain, Inc. Day Training, Developmentally Disabled Services 1465 S Vinnell Way, Boise, ID 83709-1659 2009-08-20
1245418300 Easterseals-goodwill Northern Rocky Mountain, Inc. Community/Behavioral Health 1607 N Parkcentre Pl, Nampa, ID 83651-1705 2008-01-31
1861601239 Easterseals-goodwill Northern Rocky Mountain, Inc. Community/Behavioral Health 1607 N Parkcentre Pl, Nampa, ID 83651-1705 2007-05-22
1740305135 Easterseals-goodwill Northern Rocky Mountain, Inc. Community/Behavioral Health 1408 W Hays St, Boise, ID 83702-5028 2007-03-21
1871624817 Easterseals-goodwill Northern Rocky Mountain, Inc. Nursing Care 425 1st Ave N, Great Falls, MT 59401-2507 2007-03-09

Office Location

Street Address 5242 SOUTH 4820 WEST
ATT JANET WADE
City KEARNS
State UT
Zip Code 84118

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225527500 Hoan K Doan Case Manager/Care Coordinator 3809 West 6200 South, Kearns, UT 84118 2018-05-02
1750664785 Giao L Tran Pharmacist 5586 W 6200 S, Slc, UT 84118 2011-09-26
1982913406 Brent James Seely Counselor 5934 S 8400 W, Kearns, UT 84118 2010-10-01
1063643120 Phung Matthews Pharmacist 1837 West 4700 South, Taylorsville, UT 84118 2009-08-06
1689824963 Mary Candace Christensen Social Worker 3703 West 6200 South, Valley Mental Health Artec - Therapeutic Foster Care, Bennion, UT 84118 2008-09-24
1164695128 Life's Endeavour Chiropractor 2494 West Sharron Drive, Taylorsville, UT 84118 2008-04-10
1750585485 Wendy Kay Cotting Pediatrics Taylorsville Kidscare, 3845 W. 4700 S., Taylorsville, UT 84118 2007-06-14
1720102841 Wendy Lee Bingham Physical Therapist 3845 W. 4700 S., Ihc Taylorsville Health Center, Taylorsville, UT 84118 2007-03-16
1417028952 Terry Milo Hansen Optometrist 2828 West 4700 South, Suite D, West Valley City, UT 84118 2006-11-13
1861423980 K Mart Corp Pharmacy 3835 West 5400 South St, Kearns, UT 84118 2006-07-06
Find all providers in zip 84118

Taxonomy Information

Taxonomy Code 252Y00000X
Grouping Agencies
Classification Early Intervention Provider Agency

Taxonomy Definition

Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.
Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174062590 Weber Human Services Early Intervention Provider Agency 4820 S 350 E, Apt A17, Washington Terrace, UT 84405-6292 2017-02-17
1699060418 Sunset City Corporation Early Intervention Provider Agency 200 W 1300 N, Sunset, UT 84015-2944 2011-06-09
1811504483 State of Utah, Department of Health Early Intervention Provider Agency 288 N 1460 W, Salt Lake City, UT 84116-3231 2020-09-28
1063062164 State of Utah, Department of Health Early Intervention Provider Agency 2540 Washington Blvd Ste 122, Ogden, UT 84401-3112 2019-09-19
1790155547 Advanced Behavior Analysis Inc Early Intervention Provider Agency 1742 Teal Dr, Park City, UT 84098-5407 2015-10-05
1396085718 Kids On The Move, Inc Early Intervention Provider Agency 475 W 260 N, Orem, UT 84057-1970 2013-02-21
1356659460 Asian Association of Utah Early Intervention Provider Agency 1588 Major St, Salt Lake City, UT 84115-1631 2010-09-23

Competitor

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City KEARNS
Zip Code 84118

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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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