MENTOR IDAHO, LLC
NPI 1144896515
Clinic/Center - Developmental Disabilities in Boise, ID

NPI Status: Active since May 27, 2021

Contact Information

12553 W EXPLORER DR STE 190
BOISE, ID
ZIP 83713
Phone: (951) 201-5914

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  • Organization
  • Clinic/Center
  • Developmental Disabilities

About MENTOR IDAHO, LLC

This page provides the complete NPI Profile along with additional information for Mentor Idaho, Llc, a provider established in Boise, Idaho operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1144896515 assigned on May 2021. The practitioner's primary taxonomy code is 261QD1600X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Robin E Jacome (Sr. Business Director)

NPI
1144896515
Provider Name
MENTOR IDAHO, LLC
Entity Type
Organization
Location Address
12553 W EXPLORER DR STE 190 BOISE, ID 83713
Location Phone
(951) 201-5914
Mailing Address
9166 ANAHEIM PLACE, SUIE 200 RANCHO CUCAMONGA, CA 91730
Mailing Phone
(951) 201-5914
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-27-2021
Last Update Date
05-27-2021
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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

Clinic/Center Developmental Disabilities

Taxonomy Code
261QD1600X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBIN E JACOME

Authorized Official Title
SR. BUSINESS DIRECTOR
Authorized Official Phone
(951) 201-5914

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1144896515, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
4
Doubled → 8
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
1
Doubled → 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 8 → 16 → 7 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 8 + 4 + 1 + 6 + 9 + 1 + 2 + 5 + 2 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1144896515.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Behavior Technician
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Behavior Technician
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Behavior Technician
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Behavior Technician
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Behavior Technician
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Behavior Technician
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Behavior Technician
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Behavior Technician
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Behavior Technician
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Behavior Technician
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Behavior Technician
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Behavior Technician
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Behavior Technician
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Behavior Technician
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Counselor (Addiction (Substance Use Disorder))
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Counselor
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Counselor (Professional)
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Counselor (Mental Health)
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Case Manager/Care Coordinator
12553 W EXPLORER DR STE 190
BOISE, ID 83713
Case Manager/Care Coordinator
12553 W EXPLORER DR STE 190
BOISE, ID 83713

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144896515, enumerated as an "organization" on May 27, 2021.

The provider is located at 12553 W EXPLORER DR STE 190 BOISE, ID 83713 and the phone number is (951) 201-5914.

Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.