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GRAND TETON SERVICE GROUP
NPI 1356577019
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Idaho Falls, ID

Active since June 08, 2009
329 PARK AVE, IDAHO FALLS, ID 83402(208) 528-7443(208) 528-7321 Get Directions Write a Review

NPPES record last updated: June 8, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grand Teton Service Group NPPES

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

GRAND TETON SERVICE GROUP (NPI 1356577019) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Idaho Falls, Idaho and active in the NPI registry since June 2009. The organization lists Lisa Bowman, Program Director, as its authorized official.

NPPES Registry Identity

NPI1356577019
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameGRAND TETON SERVICE GROUP
Location Address329 PARK AVEIdaho Falls, ID 83402-3610
Mailing AddressPo Box 50457Idaho Falls, ID 83405-0457 · (208) 528-7443 · Fax (208) 528-7321
Phone(208) 528-7443
Fax(208) 528-7321
Organization SubpartNo
Authorized OfficialLisa BowmanProgram Director · (208) 528-7443
Enumeration DateJune 8, 2009
✔ NPI 1356577019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in ID · RHA-313
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
329 PARK AVE, Idaho Falls, ID 83402
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Other Identifiers 1

Medicaid0026966ID

Other Providers at the Same Location NPPES 2

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

GRAND TETON SERVICE GROUP
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
329 PARK AVE
IDAHO FALLS, ID 83402
Bonneville County (208) 528-7443
GRAND TETON SERVICE GROUP
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
329 PARK AVE
IDAHO FALLS, ID 83402
Bonneville County (208) 528-7443

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 Grand Teton Service Group's NPI number?

The NPI number for Grand Teton Service Group is 1356577019. It was assigned to this organization in the NPPES registry on June 8, 2009.

Where is Grand Teton Service Group located?

Grand Teton Service Group is located at 329 Park Ave, Idaho Falls, ID 83402. The listed phone number is (208) 528-7443.

What is Grand Teton Service Group's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Grand Teton Service Group was last updated on June 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.