SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.
NPI 1629124987
Day Training, Developmentally Disabled Services in Blackfoot, ID
- Organization
- Day Training, Developmentally Disabled S...
About SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.
This page provides the complete NPI Profile along with additional information for Southeastern Idaho Developmental Center, Inc., a provider established in Blackfoot, Idaho operating as a Day Training, Developmentally Disabled Services. The healthcare provider is registered in the NPI registry with number 1629124987 assigned on January 2007. The practitioner's primary taxonomy code is 251C00000X with license number 6SOEAST035 (ID). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Jim P. Mccoy (Owner Director)
- NPI
- 1629124987 Verify this NPI
- Provider Name
- SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.
- Entity Type
- Organization
- Location Address
- 765 W JUDICIAL ST BLACKFOOT, ID 83221
- Location Phone
- (208) 782-1301
- Location Fax
- (208) 782-3627
- Mailing Address
- PO BOX 701 BLACKFOOT, ID 83221
- Mailing Phone
- (208) 782-1301
- Mailing Fax
- (208) 782-3627
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-26-2007
- Last Update Date
- 03-20-2008
- Code Navigator
Location Map
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 No.
- 6SOEAST035
- 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.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
BLACKFOOT, ID 83221
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629124987, enumerated as an "organization" on January 26, 2007.
The provider is located at 765 W JUDICIAL ST BLACKFOOT, ID 83221 and the phone number is (208) 782-1301.
Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.
