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MOUNTAIN HOME RTC
NPI 1073843868
Residential Treatment Facility, Emotionally Disturbed Children in Mountain Home, ID

Active since December 30, 2009
2850 INDUSTRIAL WAY, MOUNTAIN HOME, ID 83647(208) 587-2679(208) 587-2875 Get Directions Write a Review

NPPES record last updated: December 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mountain Home Rtc NPPES

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

MOUNTAIN HOME RTC (NPI 1073843868) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Mountain Home, Idaho and active in the NPI registry since December 2009. The organization lists John Stupak, President, as its authorized official.

NPPES Registry Identity

NPI1073843868
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameSEQUEL TSI OF IDAHO, LLC
Location Address2850 INDUSTRIAL WAYMountain Home, ID 83647-3960
Mailing Address2850 Industrial WayMountain Home, ID 83647-3960 · (208) 587-2679 · Fax (208) 587-2875
Phone(208) 587-2679
Fax(208) 587-2875
Organization SubpartNo
Authorized OfficialJohn StupakPresident · (267) 419-8913
Enumeration DateDecember 30, 2009
✔ NPI 1073843868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
2850 INDUSTRIAL WAY, Mountain Home, ID 83647
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Other Names 1

Doing Business AsMountain Home Rtc

Other Providers at the Same Location NPPES 3

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

SEQUEL TSI OF IDAHO
Community/Behavioral Health
2850 INDUSTRIAL WAY
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-2679
SEQUEL TSI OF IDAHO, LLC
Clinic/Center (Adult Mental Health)
2850 INDUSTRIAL WAY
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-2679
SEQUEL TSI OF IDAHO, LLC
Clinic/Center (Adolescent and Children Mental Health)
2850 INDUSTRIAL WAY
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-2679

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 Sequel Tsi Of Idaho, LLC's NPI number?

The NPI number for Sequel Tsi Of Idaho, LLC is 1073843868. It was assigned to this organization in the NPPES registry on December 30, 2009. The provider is doing business as Mountain Home Rtc.

Where is Sequel Tsi Of Idaho, LLC located?

Sequel Tsi Of Idaho, LLC is located at 2850 Industrial Way, Mountain Home, ID 83647. The listed phone number is (208) 587-2679.

What is Sequel Tsi Of Idaho, LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Sequel Tsi Of Idaho, LLC was last updated on December 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.