FAMILY SUPPORT SERVICES OF NORTH IDAHO
NPI 1235354705
Day Training, Developmentally Disabled Services in Coeur D Alene, ID

NPI Status: Active since April 17, 2007

Contact Information

1115 W IRONWOOD DR
SUITE C
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 769-4222
Fax: (208) 667-7557

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About FAMILY SUPPORT SERVICES OF NORTH IDAHO

This page provides the complete NPI Profile along with additional information for Family Support Services Of North Idaho, a provider established in Coeur D Alene, Idaho operating as a Day Training, Developmentally Disabled Services. The healthcare provider is registered in the NPI registry with number 1235354705 assigned on April 2007. The practitioner's primary taxonomy code is 251C00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mrs. Jodi Smith M.ed (Executive Director)

NPI
1235354705
Provider Name
FAMILY SUPPORT SERVICES OF NORTH IDAHO
Entity Type
Organization
Location Address
1115 W IRONWOOD DR SUITE C COEUR D ALENE, ID 83814
Location Phone
(208) 769-4222
Location Fax
(208) 667-7557
Mailing Address
1115 W IRONWOOD DR SUITE C COEUR D ALENE, ID 83814
Mailing Phone
(208) 769-4222
Mailing Fax
(208) 667-7557
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2007
Last Update Date
07-21-2022
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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

Day Training, Developmentally Disabled Services

Taxonomy Code
251C00000X
Type
Agencies
License State
ID
Taxonomy Description
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

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

MRS. JODI SMITH M.ED

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(208) 729-4222

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235354705
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
226565870
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 6 + 5 + 8 + 7 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1235354705 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

LYNN WIERDSMA PSY.D.

Psychologist

(Clinical)

1115 W IRONWOOD DR
COEUR D ALENE, ID
ZIP 83814

(208) 665-7178

JULIE THIBAULT

Counselor

(Mental Health)

1115 W IRONWOOD DR
COEUR D ALENE, ID
ZIP 83814

(208) 665-7178

CHRISTINE SUMMERING L.P.C

Counselor

(Mental Health)

1115 W IRONWOOD DR
COEUR D ALENE, ID
ZIP 83814

(208) 699-7340

FAMILY SUPPORT SERVICES OF NORTH IDAHO

Clinic/Center

(Mental Health (Including Community Mental Health Center))

1115 W IRONWOOD DR
SUITE C
COEUR D ALENE, ID
ZIP 83814

(208) 769-4222

FAMILY SUPPORT SERVICES OF NORTH IDAHO

Counselor

(Mental Health)

1115 W IRONWOOD DR
SUITE C
COEUR D ALENE, ID
ZIP 83814

(208) 769-4222

FAMILY SUPPORT SERVICES OF NORTH IDAHO

Case Management

1115 W IRONWOOD DR
SUITE C
COEUR D ALENE, ID
ZIP 83814

(208) 769-4222

FAMILY SUPPORT SERVICES

Case Management

1115 W IRONWOOD DR
SUITE C
COEUR D ALENE, ID
ZIP 83814

(208) 769-4222

LAUREN TAYLOR HALL APRN

Nurse Practitioner

(Psychiatric/Mental Health)

1115 W IRONWOOD DR
COEUR D ALENE, ID
ZIP 83814

(208) 699-0223

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235354705, enumerated as an "organization" on April 17, 2007.

The provider is located at 1115 W IRONWOOD DR SUITE C COEUR D ALENE, ID 83814 and the phone number is (208) 769-4222.

Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.