THE ACADEMY AT ROOSEVELT CENTER (NPI# 1801062666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801062666 |
| Entity Type | Organization |
| Organization Name | THE ACADEMY AT ROOSEVELT CENTER |
| Practice Address |
240 E Maple St Pocatello ID 83201-4647 |
| Practice Telephone | 2082321447 |
| Mailing Telephone | 2082321447 |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |
| Authorized Official Name | MR. TODD KENNETH LEVESQUE (SYSTEMS MANAGER) |
| Authorized Official Telephone | 2089223093 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | ID | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 8076220 | 05 |
| Street Address |
240 E MAPLE ST |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-4647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457735938 | R.i.t.e.s., Inc. | Day Training, Developmentally Disabled Services | 240 E Maple St, Pocatello, ID 83201-4647 | 2015-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477001808 | Lutheran Church Missouri Synod Grace Lutheran School | Local Education Agency (LEA) | 1350 Baldy Ave, Pocatello, ID 83201-7104 | 2016-09-14 |
| 1992956841 | Pocatello Community Charter School | Local Education Agency (LEA) | 995 S Arthur Ave, Pocatello, ID 83204-3400 | 2008-10-08 |
| 1518088178 | Pocatello Chubbuck School District #25 | Local Education Agency (LEA) | 3115 Pole Line Rd, Pocatello, ID 83201-6119 | 2007-04-02 |
| 1114285996 | Idaho State University | Local Education Agency (LEA) | 921 S 8th Ave, Mail Stop 8219, Pocatello, ID 83209-8219 | 2012-04-30 |
| 1164563508 | Idaho Dept of Health & Welfare Itp Region 6 | Local Education Agency (LEA) | 421 Memorial Dr, Pocatello, ID 83201-4008 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059933 | Pinecrest Academy of Idaho | Local Education Agency (LEA) | 209 5th Ave N, Twin Falls, ID 83301-6141 | 2020-09-28 |
| 1992312565 | Doral Academy Idaho | Local Education Agency (LEA) | 2511 W Cherry Ln, Meridian, ID 83642-1135 | 2020-09-28 |
| 1649895426 | Mosaics Public School Inc. | Local Education Agency (LEA) | 3121 Lincoln Rd, Caldwell, ID 83605-8171 | 2020-06-08 |
| 1285258921 | Anser of Idaho Inc. | Local Education Agency (LEA) | 202 E 42nd St, Garden City, ID 83714-6315 | 2020-05-28 |
| 1437795770 | Fern-waters Public Charter School Incorporated | Local Education Agency (LEA) | 103 Van Dreff St, Salmon, ID 83467-4116 | 2019-11-21 |
| 1912558008 | Forge International School | Local Education Agency (LEA) | 208 S Hartley Ln, Middleton, ID 83644 | 2019-09-20 |
| 1659925113 | Treasure Valley Classical Academy | Local Education Agency (LEA) | 500 Sw 3rd Street, Fruitland, ID 83619 | 2019-08-01 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1811464738 | Forrester Academy, Inc. | Local Education Agency (LEA) | 151 N Ridge Ave, Idaho Falls, ID 83402-4014 | 2018-10-29 |
| 1245715945 | Peace Valley Charter School | Local Education Agency (LEA) | 1845 S Federal Way, Boise, ID 83705-4261 | 2018-09-27 |
| 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.