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GEM STATE DEVELOPMENTAL CENTER LLC
NPI 1023667524
Day Training/Habilitation Specialist in Meridian, ID

Active since September 06, 2019
818 NW 15TH ST, MERIDIAN, ID 83642(208) 888-5566(208) 888-5578 Get Directions Write a Review

NPPES record last updated: September 6, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Gem State Developmental Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEM STATE DEVELOPMENTAL CENTER LLC (NPI 1023667524), doing business as Gem State Developmental Center, is a healthcare organization registered as a day training/habilitation specialist in Meridian, Idaho and active in the NPI registry since September 2019. The organization lists Lori Jo Poole, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1023667524
Entity TypeOrganization
Primary Taxonomy373H00000X
Legal Business NameGEM STATE DEVELOPMENTAL CENTER LLC
Location Address818 NW 15TH STMeridian, ID 83642-3724
Mailing Address818 Nw 15th StMeridian, ID 83642-3724 · (208) 888-5566 · Fax (208) 888-5578
Phone(208) 888-5566
Fax(208) 888-5578
Organization SubpartYesParent: Syringa Social Services Llc
Authorized OfficialLori Jo PooleClinical Director · (208) 888-5566
Enumeration DateSeptember 6, 2019
✔ NPI 1023667524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
818 NW 15TH ST, Meridian, ID 83642
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Other Names 1

Doing Business AsGem State Developmental Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEM STATE DEVELOPMENTAL CENTER LLC
Day Training, Developmentally Disabled Services
818 NW 15TH ST
MERIDIAN, ID 83642
Ada County (208) 888-5566
MS. LORI JO POOLE LCSW
Social Worker
818 NW 15TH ST
MERIDIAN, ID 83642
Ada County (208) 888-5566

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gem State Developmental Center LLC's NPI number?

The NPI number for Gem State Developmental Center LLC is 1023667524. It was assigned to this organization in the NPPES registry on September 6, 2019. The provider is doing business as Gem State Developmental Center.

Where is Gem State Developmental Center LLC located?

Gem State Developmental Center LLC is located at 818 NW 15th St, Meridian, ID 83642. The listed phone number is (208) 888-5566.

What is Gem State Developmental Center LLC's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Gem State Developmental Center LLC was last updated on September 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.