EVAN WHITE
NPI 1043038268
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Emmett, ID

Q: What is Evan White's NPI number?

The NPI number for Evan White is 1043038268. It was assigned to this individual provider in the NPPES registry on September 27, 2024.

Q: What is Evan White's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Evan White was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since September 27, 2024

9825 MAYBERRY LN, EMMETT, ID 83617(208) 713-1290 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Evan White NPPES

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

EVAN WHITE (NPI 1043038268) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Emmett, Idaho and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1043038268

Entity TypeIndividualMale

Primary Taxonomy320900000X

Provider Legal NameEVAN WHITE

Location Address9825 MAYBERRY LNEmmett, ID 83617-3051

Mailing Address9825 Mayberry LnEmmett, ID 83617-3051 · (208) 713-1290

Phone(208) 713-1290

Sole ProprietorYes

Enumeration DateSeptember 27, 2024

NPPES CertifiedSeptember 26, 2024

✔ NPI 1043038268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

9825 MAYBERRY LN, Emmett, ID 83617

Open in Google Maps ↗

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 Evan White's NPI number?

The NPI number for Evan White is 1043038268. It was assigned to this individual provider in the NPPES registry on September 27, 2024.

Where is Evan White located?

Evan White practices at 9825 Mayberry Ln, Emmett, ID 83617. The listed phone number is (208) 713-1290.

What is Evan White's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Evan White was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.