HUMAN SUPPORTS OF IDAHO, INC (NPI# 1972646511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972646511 |
| Entity Type | Organization |
| Organization Name | HUMAN SUPPORTS OF IDAHO, INC |
| Practice Address |
314 Badiola St Caldwell ID 83605-4389 |
| Mailing Address |
Po Box 820 Caldwell ID 83606-0820 |
| Practice Telephone | 2084548389 |
| Practice Fax Number | 2084548404 |
| Mailing Telephone | 2084548389 |
| Mailing Fax Number | 2084548404 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2013-09-30 |
| Authorized Official Name | GREGORY LEROY 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 | 807338200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598145252 | Human Supports of Idaho, Inc | Community/Behavioral Health | 314 Badiola St, Caldwell, ID 83605-4389 | 2015-06-08 |
| 1922340124 | Human Supports of Idaho, Inc | Physician Assistant | 4477 W Emerald St, Ste C-100, Boise, ID 83706-2000 | 2013-03-26 |
| Street Address |
314 BADIOLA ST |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-4389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982238606 | Leslie Maggard | Counselor | 314 Badiola St, Caldwell, ID 83605-4389 | 2020-03-03 |
| 1003450107 | Meria Reusser | Community Health Worker | 314 Badiola St, Caldwell, ID 83605-4389 | 2019-10-31 |
| 1902307457 | Laurel Jane Sapp | Social Worker | 314 Badiola St, Caldwell, ID 83605-4389 | 2018-02-21 |
| 1437658044 | Daniel Timothy Ault | Social Worker | 314 Badiola St, Caldwell, ID 83605-4389 | 2018-02-08 |
| 1487179172 | Tracie Ann Bolen | Social Worker | 314 Badiola St, Caldwell, ID 83605-4389 | 2017-08-03 |
| 1053841247 | Craig M Johnson | Social Worker | 314 Badiola St, Caldwell, ID 83605 | 2017-06-19 |
| 1174077457 | Christopher Edward Otoole | Social Worker | 314 Badiola St, Caldwell, ID 83605-4389 | 2016-08-04 |
| 1871965533 | Dominique Davi Juarez | Social Worker | 314 Badiola St, Caldwell, ID 83605-4389 | 2015-10-21 |
| 1598145252 | Human Supports of Idaho, Inc | Community/Behavioral Health | 314 Badiola St, Caldwell, ID 83605-4389 | 2015-06-08 |
| 1376930883 | Lindsey Dawn Baumann | Counselor | 314 Badiola St, Caldwell, ID 83605-4389 | 2015-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| 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 |
|---|---|---|---|---|
| 1114389517 | Aspen Ministries Syringa Wellness | Community/Behavioral Health | 1609 S Kimball Ave Ste 200, Caldwell, ID 83605-5196 | 2016-03-24 |
| 1366883605 | Mana Resources LLC | Community/Behavioral Health | 1008 Fillmore St, Caldwell, ID 83605-4129 | 2013-07-15 |
| 1013356179 | Word Mason | Community/Behavioral Health | 1503 Teton Ave, Caldwell, ID 83605-2266 | 2013-06-21 |
| 1558706945 | Easterseals-goodwill Northern Rocky Mountain, Inc | Community/Behavioral Health | 510 Arthur St Ste 150, Caldwell, ID 83605-3778 | 2013-04-30 |
| 1538414362 | Gyst Counseling & Wellness LLC | Community/Behavioral Health | 1002 Blaine St, Suite 208, Caldwell, ID 83605-5574 | 2012-07-18 |
| 1104083724 | Caldwell Psychological Services P.a. | Community/Behavioral Health | 815 Fillmore, Caldwell, ID 83605-4173 | 2008-05-21 |
| 1144672734 | Thompkins Treatment | Community/Behavioral Health | 18003 Woodsfield Rd # 2, Caldwell, OH 43724-9709 | 2016-07-07 |
| 1427433986 | Barrett Behavioral Health Corp | Community/Behavioral Health | 275 Bloomfield Ave, Caldwell, NJ 07006-5143 | 2015-07-27 |
| 1598145252 | Human Supports of Idaho, Inc | Community/Behavioral Health | 314 Badiola St, Caldwell, ID 83605-4389 | 2015-06-08 |
| 1184012551 | Paula K. Garay | Community/Behavioral Health | 2609 S 10th Ave, Caldwell, ID 83605-6816 | 2015-01-07 |
| Find all providers in CALDWELL | ||||
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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.