MRS. JUDY ANN STALLCOP (NPI# 1598932493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598932493 |
| Entity Type | Individual |
| Full Name | MRS. JUDY ANN STALLCOP |
| Credential | C.N.A |
| Practice Address |
836 W Locust Ln Nampa ID 83686-8231 |
| Practice Telephone | 2084668315 |
| Practice Fax Number | 2084680566 |
| Mailing Telephone | 2084668315 |
| Mailing Fax Number | 2084680566 |
| Enumeration Date | 2008-05-11 |
| Last Update Date | 2008-05-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 564593 | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 8063404-JUDYSTALLCOP | 05 |
| Street Address |
836 W LOCUST LN |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-8231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| 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 |
|---|---|---|---|---|
| 1447557335 | The Lilypad, LLC | Day Training, Developmentally Disabled Services | 2010 W Rosten Ave, Nampa, ID 83686-4854 | 2011-02-11 |
| 1902126394 | H.e.a.r.t. Incorporated | Day Training, Developmentally Disabled Services | 1823 Ventura Dr, Nampa, ID 83686-6228 | 2010-06-08 |
| 1871795302 | A New Life Mental Health | Day Training, Developmentally Disabled Services | 1808 N Midland Blvd, Nampa, ID 83651-1747 | 2007-06-05 |
| 1487869939 | Western Idaho Training Company, Inc | Day Training, Developmentally Disabled Services | 122 West Georgia Avenue, Nampa, ID 83686 | 2007-05-10 |
| 1316061054 | Advanced Services LLC | Day Training, Developmentally Disabled Services | 210 E Carol St, Nampa, ID 83687-3820 | 2007-03-19 |
| 1295879542 | High Valley Developmental | Day Training, Developmentally Disabled Services | 4806 Southside Blvd, Nampa, ID 83686-8919 | 2007-02-19 |
| 1144366576 | Diamond Developmental Center Inc | Day Training, Developmentally Disabled Services | 915 Parkcentre Way Ste 2, Suite 102, Nampa, ID 83651-1748 | 2007-01-30 |
| 1770632747 | Advocates for Inclusion | Day Training, Developmentally Disabled Services | 958 W Corporate Ln, Nampa, ID 83651-1909 | 2007-01-09 |
| 1588056865 | Centerpointe, Inc. | Day Training, Developmentally Disabled Services | 915 Parkcentre Way Ste 7, Nampa, ID 83651-1748 | 2015-02-24 |
| 1740400803 | Advocates for Inclusion | Day Training, Developmentally Disabled Services | 958 W Corporate Ln, Nampa, ID 83651-1909 | 2007-04-30 |
| Find all providers in NAMPA | ||||
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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.