LUCAS SMITH
NPI 1083480404
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities in Blackfoot, ID
- Individual
- Male
- Respite Care
- Respite Care, Intellectual and/or Develo...
About LUCAS SMITH
This page provides the complete NPI Profile along with additional information for Lucas Smith, a provider established in Blackfoot, Idaho with a medical specialization in Respite Care, focusing in respite care, intellectual and/or developmental disabilities . The healthcare provider is registered in the NPI registry with number 1083480404 assigned on November 2023. The practitioner's primary taxonomy code is 385HR2060X. The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1083480404 Verify this NPI
- Provider Name
- LUCAS SMITH
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 861 LAKESIDE DR BLACKFOOT, ID 83221
- Location Phone
- (208) 360-7355
- Mailing Address
- 861 LAKESIDE DR BLACKFOOT, ID 83221
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-27-2023
- Last Update Date
- 11-27-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Respite Care Respite Care, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 385HR2060X
- Type
- Respite Care Facility
- Taxonomy Description
- A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083480404, enumerated as an "individual" on November 27, 2023.
The provider is located at 861 LAKESIDE DR BLACKFOOT, ID 83221 and the phone number is (208) 360-7355.
Respite Care with taxonomy code 385HR2060X and a focus in Respite Care, Intellectual and/or Developmental Disabilities.
