IDAHO DEPT OF HEALTH & WELFARE ITP REGION 4 (NPI# 1568502409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568502409 |
| Entity Type | Organization |
| Organization Name | IDAHO DEPT OF HEALTH & WELFARE ITP REGION 4 |
| Practice Address |
1720 Westgate Dr Suite B-2 Boise ID 83704-7164 |
| Practice Telephone | 2083340900 |
| Practice Fax Number | 2083340926 |
| Mailing Telephone | 2083340900 |
| Mailing Fax Number | 2083340926 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2013-08-05 |
| Authorized Official Name | MARY J JONES (PROGRAM MANAGER) |
| Authorized Official Telephone | 2083345523 |
| Authorized Official Credential | B.U.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251300000X | Local Education Agency (LEA) | Agencies | ||
| Y | 252Y00000X | Early Intervention Provider Agency | ID | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS OF IDAHO | HW306 | 01 |
| ID | BLUE SHIELD | 000010019044 | 01 |
| ID | 0028406 | 05 |
| Street Address |
1720 WESTGATE DR SUITE B-2 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-7164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609811728 | Charles Terry Priscock | Social Worker | 1720 Westgate Dr, Boise, ID 83704-7164 | 2006-06-20 |
| 1891825824 | Idaho Dept of Health & Welfare Region 4 Cmh Psr Boise | Clinic/Center | 1720 Westgate Dr, Suite D, Boise, ID 83704-7164 | 2007-03-07 |
| 1205966249 | Idaho Dept of Health & Welfare Cmh Clinic Boise | Clinic/Center | 1720 Westgate Dr, Suite D, Boise, ID 83704-7164 | 2007-03-07 |
| 1487784435 | Idaho Dept of Health & Welfare Amh Clinic Boise | Clinic/Center | 1720 Westgate Dr, Suite B-1, Boise, ID 83704-7164 | 2007-03-07 |
| 1205966157 | Idaho Dept of Health & Welfare Amh Psr Boise | Clinic/Center | 1720 Westgate Dr, Suite B-1, Boise, ID 83704-7164 | 2007-03-07 |
| 1750423216 | Idaho Dept of Health & Welfare Esc Region 4 | Case Management | 1720 Westgate Dr, Suite B-2, Boise, ID 83704-7164 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982239539 | Daesha White | Early Intervention Provider Agency | 555 S Curtis Rd Apt 202, Boise, ID 83705-6420 | 2020-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962658500 | Syringa Family Partnership, LLC | Early Intervention Provider Agency | 3650 N Government Way, Suite L, Coeur D Alene, ID 83815-8331 | 2008-08-14 |
Please comment or provide details below to improve the information on IDAHO DEPT OF HEALTH & WELFARE ITP REGION 4.
| 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.