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HUMAN SUPPORTS OF IDAHO, INC.
NPI 1376686915
Community/Behavioral Health in Caldwell, ID

Active since February 14, 2007CLIA Certified · 2 labs
314 BADIOLA ST, CALDWELL, ID 83605(208) 454-8389(208) 454-8404 Get Directions Write a Review

NPPES record last updated: September 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Human Supports Of Idaho, Inc. NPPES

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

HUMAN SUPPORTS OF IDAHO, INC. (NPI 1376686915) is a healthcare organization registered as a community/behavioral health in Caldwell, Idaho and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Gregory L Dickerson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1376686915
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameHUMAN SUPPORTS OF IDAHO, INC.
Location Address314 BADIOLA STCaldwell, ID 83605-4389
Mailing AddressPo Box 820Caldwell, ID 83606-0820 · (208) 454-8389 · Fax (208) 454-8404
Phone(208) 454-8389
Fax(208) 454-8404
Organization SubpartNo
Authorized OfficialGregory L DickersonAdministrator · (208) 321-0160
Enumeration DateFebruary 14, 2007
Last NPPES UpdateSeptember 30, 2013
✔ NPI 1376686915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
314 BADIOLA ST, Caldwell, ID 83605
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Other Identifiers 1

Medicaid002800100ID

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2142253

Human Supports Of Idaho Inc · Caldwell, ID
Active · expires Jan 7, 2028
CLIA Number13D2142253
Laboratory TypeSud/Mental Hlth Outpatien
Certificate Effective DateJanuary 8, 2026
Certificate Expiration DateJanuary 7, 2028
Laboratory DirectorGregory L. Dickerson
Laboratory Phone(208) 454-8389
Laboratory LocationHuman Supports Of Idaho Inc314 Badiola St, Caldwell, ID 83605
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2142255

Human Supports Of Idaho Inc · Boise, ID
Active · expires Jan 7, 2028
CLIA Number13D2142255
Laboratory TypeSud/Mental Hlth Outpatien
Certificate Effective DateJanuary 8, 2026
Certificate Expiration DateJanuary 7, 2028
Laboratory DirectorGregory L. Dickerson
Laboratory Phone(208) 454-8389
Laboratory LocationHuman Supports Of Idaho Inc4477 W Emerald St Ste C-100, Boise, ID 83706
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

MERIA REUSSER CPRP
Community Health Worker
314 BADIOLA ST
CALDWELL, ID 83605
Canyon County (208) 454-8389
MARY KAY GORDON-BRUNNER
Social Worker (Clinical)
314 BADIOLA ST
CALDWELL, ID 83605
Canyon County (702) 589-4871
CRAIG M JOHNSON
Social Worker (Clinical)
314 BADIOLA ST
CALDWELL, ID 83605
Canyon County (208) 454-8389
MR. CHRISTOPHER EDWARD OTOOLE LMSW
Social Worker
314 BADIOLA ST
CALDWELL, ID 83605
Canyon County (208) 454-8389
ELENA RAMIREZ
Social Worker
314 BADIOLA ST
CALDWELL, ID 83605
Canyon County (208) 454-8389
KEVIN COLIN SORAN HENSON
Counselor
314 BADIOLA ST
CALDWELL, ID 83605
Canyon County (208) 454-8389
HUMAN SUPPORTS OF IDAHO, INC.
Case Management
314 BADIOLA ST
CALDWELL, ID 83605
Canyon County (208) 454-8389
DANIEL TIMOTHY AULT
Social Worker
314 BADIOLA ST
CALDWELL, ID 83605
Canyon County (208) 454-8389

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 Human Supports Of Idaho, Inc.'s NPI number?

The NPI number for Human Supports Of Idaho, Inc. is 1376686915. It was assigned to this organization in the NPPES registry on February 14, 2007.

Where is Human Supports Of Idaho, Inc. located?

Human Supports Of Idaho, Inc. is located at 314 Badiola St, Caldwell, ID 83605. The listed phone number is (208) 454-8389.

What is Human Supports Of Idaho, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Human Supports Of Idaho, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Human Supports Of Idaho, Inc. was last updated on September 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.