SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.
NPI 1629124987
Day Training, Developmentally Disabled Services in Blackfoot, ID

Q: What is Southeastern Idaho Developmental Center, Inc.'s specialty?

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

Active since January 26, 2007

765 W JUDICIAL ST, BLACKFOOT, ID 83221(208) 782-1301(208) 782-3627 Get Directions Write a Review

NPPES record last updated: March 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southeastern Idaho Developmental Center, Inc. NPPES

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

SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC. (NPI 1629124987) is a healthcare organization registered as a day training, developmentally disabled services in Blackfoot, Idaho and active in the NPI registry since January 2007. The organization lists Jim P. Mccoy, Owner Director, as its authorized official.

NPPES Registry Identity

NPI1629124987

Entity TypeOrganization

Primary Taxonomy251C00000X

Legal Business NameSOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.

Location Address765 W JUDICIAL STBlackfoot, ID 83221-2036

Mailing AddressPo Box 701Blackfoot, ID 83221-0701 · (208) 782-1301 · Fax (208) 782-3627

Phone(208) 782-1301

Fax(208) 782-3627

Organization SubpartNo

Authorized OfficialJim P. MccoyOwner Director · (208) 782-1301

Enumeration DateJanuary 26, 2007

Last NPPES UpdateMarch 20, 2008

✔ NPI 1629124987 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 · 6SOEAST035

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.

765 W JUDICIAL ST, Blackfoot, ID 83221

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Other Providers at the Same Location NPPES 5

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

SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.

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