HUMAN SUPPORTS OF IDAHO, INC. (NPI# 1902949548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902949548 |
| Entity Type | Organization |
| Organization Name | HUMAN SUPPORTS OF IDAHO, INC. |
| Practice Address |
4477 W Emerald St Suite C-100 Boise ID 83706-2000 |
| Mailing Address |
Po Box 820 Caldwell ID 83606-0820 |
| Practice Telephone | 2083210160 |
| Practice Fax Number | 2083210221 |
| Mailing Telephone | 2084548389 |
| Mailing Fax Number | 2084548404 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2012-12-18 |
| Authorized Official Name | GREGORY L DICKERSON (ADMINISTRATOR) |
| Authorized Official Telephone | 2083210160 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 807345800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700129491 | Human Supports of Idaho, Inc. | Social Worker | 314 Badiola St, Caldwell, ID 83605-4389 | 2013-04-01 |
| 1376686915 | Human Supports of Idaho, Inc. | Community/Behavioral Health | 314 Badiola St, Caldwell, ID 83605-4389 | 2007-02-14 |
| 1558404129 | Human Supports of Idaho, Inc. | Community/Behavioral Health | 4477 W Emerald St, Ste C-100, Boise, ID 83706-2000 | 2007-02-14 |
| 1376686949 | Human Supports of Idaho, Inc. | Case Management | 314 Badiola St, Caldwell, ID 83605-4389 | 2007-02-14 |
| Street Address |
4477 W EMERALD ST SUITE C-100 |
| City | BOISE |
| State | ID |
| Zip Code | 83706-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780039545 | Sheila Chapdelaine | Social Worker | 4477 W Emerald St, C-100, Boise, ID 83706-2000 | 2016-04-29 |
| 1841670635 | Clay S Tuck | Social Worker | 4477 W Emerald St, Boise, ID 83706-2000 | 2015-06-05 |
| 1679969976 | Michael Chippolla | Counselor | 4477 W Emerald St, Boise, ID 83706-2000 | 2015-04-13 |
| 1568887339 | Gregory Dickerson | Social Worker | 4477 W Emerald St, Suite C100, Boise, ID 83706-2000 | 2014-03-03 |
| 1831510320 | Brian Patrick Knight | Social Worker | 4477 W Emerald St, Suite C-100, Boise, ID 83706-2000 | 2013-12-30 |
| 1497185045 | Shannon Marie Kessler | Social Worker | 4477 W Emerald St, Suite C-100, Boise, ID 83706-2000 | 2013-11-18 |
| 1922340124 | Human Supports of Idaho, Inc | Physician Assistant | 4477 W Emerald St, Ste C-100, Boise, ID 83706-2000 | 2013-03-26 |
| 1780970400 | Natalie France | Social Worker | 4477 W Emerald St, Boise, ID 83706-2000 | 2011-06-21 |
| 1538478862 | Rick Boyes | Counselor | 4477 W Emerald St, Suite C-110, Boise, ID 83706-2000 | 2010-10-05 |
| 1558404129 | Human Supports of Idaho, Inc. | Community/Behavioral Health | 4477 W Emerald St, Ste C-100, Boise, ID 83706-2000 | 2007-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993010 | Brette Marie Stephenson | Counselor | 1529 Belmont St., Boise, ID 83706 | 2018-12-17 |
| 1295249241 | Boise of Cascadia, LLC | Skilled Nursing Facility | 6000 W. Denton St., Boise, ID 83706 | 2017-11-29 |
| 1174035638 | Zacharia Njoroge | Physician Assistant | 1055 N Curtis Rd 6th Floor, Boise, ID 83706 | 2017-10-24 |
| 1740708965 | Total Renal Care Inc | Clinic/Center | 1070 N Curtis Rd Ste 125, Boise, ID 83706 | 2017-09-08 |
| 1023532173 | Amber Frisch | Massage Therapist | 2509 S Gekeler Lane, Boise, ID 83706 | 2017-07-31 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1770950677 | Kathryn Bender | Counselor | 1205 N Garden St, Boise, ID 83706 | 2015-08-26 |
| 1457751802 | Sabrina Shumar | Physician Assistant | 901 N Curtis Rd Ste 501, Boise, ID 83706 | 2014-09-03 |
| 1831525070 | Katie Joy Wilson | Social Worker | 333 W. Rossi St. #300, Boise, ID 83706 | 2013-09-19 |
| 1609208610 | Christine Lea Eden | Surgery | 1075 N Curtis Rd Ste 101, Boise, ID 83706 | 2013-07-31 |
| Find all providers in zip 83706 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1245854454 | Ken Wells Counseling | Community/Behavioral Health | 6654 E Bend Ridge St, Boise, ID 83716-5623 | 2020-06-03 |
| 1083236079 | Nakale Ball | Community/Behavioral Health | 3861 N Maple Grove Rd, Boise, ID 83704-4227 | 2020-05-12 |
| 1043859002 | Kacey E Mueller | Community/Behavioral Health | 688 N Avenue H Apt 304, Boise, ID 83712-6471 | 2019-12-22 |
| 1407499270 | Acceptance Counseling Services | Community/Behavioral Health | 5440 W Franklin Rd Ste 200, Boise, ID 83705-6434 | 2019-10-23 |
| 1154817021 | Hand In Hand | Community/Behavioral Health | 1830 W Airport Way, Boise, ID 83705-5101 | 2018-07-03 |
| 1982126264 | Brc Mental Health Services | Community/Behavioral Health | 963 S Orchard St Ste 103, Boise, ID 83705-1917 | 2017-07-08 |
| 1689109613 | Mrl Counseling LLC | Community/Behavioral Health | 9442 W Fairview Ave, Boise, ID 83704-8101 | 2017-04-27 |
| 1639601636 | Family Connection, Inc. | Community/Behavioral Health | 7154 W State St # 278, Boise, ID 83714-7421 | 2017-03-29 |
| 1164964045 | Jaimie Cain LLC | Community/Behavioral Health | 2210 N 31st St, Boise, ID 83703-5626 | 2016-11-09 |
| Find all providers in BOISE | ||||
Please comment or provide details below to improve the information on HUMAN SUPPORTS OF IDAHO, INC..
| 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.