CANYON CREEK DEVELOPMENTAL SERVICES
NPI 1477617165
Day Training, Developmentally Disabled Services in Caldwell, ID

Q: What is Canyon Creek Developmental Services's NPI number?

The NPI number for Canyon Creek Developmental Services is 1477617165. It was assigned to this organization in the NPPES registry on December 20, 2006.

Q: What is Canyon Creek Developmental Services's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

Active since December 20, 2006

5214 CLEVELAND BLVD STE G, CALDWELL, ID 83607(208) 454-6266(208) 454-6263 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Canyon Creek Developmental Services NPPES

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

CANYON CREEK DEVELOPMENTAL SERVICES (NPI 1477617165) is a healthcare organization registered as a day training, developmentally disabled services in Caldwell, Idaho and active in the NPI registry since December 2006. The organization lists Beth A Moody, Cfo, as its authorized official.

NPPES Registry Identity

NPI1477617165

Entity TypeOrganization

Primary Taxonomy251C00000X

Legal Business NameCANYON CREEK DEVELOPMENTAL SERVICES

Location Address5214 CLEVELAND BLVD STE GCaldwell, ID 83607-8713

Mailing Address5214 Cleveland Blvd Ste GCaldwell, ID 83607-8713 · (208) 454-6266 · Fax (208) 454-6263

Phone(208) 454-6266

Fax(208) 454-6263

Organization SubpartNo

Authorized OfficialBeth A MoodyCfo · (208) 454-6266

Enumeration DateDecember 20, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1477617165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies

Taxonomy Code251C00000X

License✔ Licensed in ID · 3CANCRK123

Definition

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.

5214 CLEVELAND BLVD STE G, Caldwell, ID 83607

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

CANYON CREEK DEVELOPMENTAL SERVICES

Local Education Agency (LEA)

5214 CLEVELAND BLVD STE G
CALDWELL, ID 83607

Canyon County (208) 454-6266

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 Canyon Creek Developmental Services's NPI number?

The NPI number for Canyon Creek Developmental Services is 1477617165. It was assigned to this organization in the NPPES registry on December 20, 2006.

Where is Canyon Creek Developmental Services located?

Canyon Creek Developmental Services is located at 5214 Cleveland Blvd Ste G, Caldwell, ID 83607. The listed phone number is (208) 454-6266.

What is Canyon Creek Developmental Services's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Canyon Creek Developmental Services was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.