REM IDAHO, LLC
NPI 1689249369
Clinic/Center - Developmental Disabilities in Boise, ID
- Organization
- Clinic/Center
- Developmental Disabilities
About REM IDAHO, LLC
This page provides the complete NPI Profile along with additional information for Rem Idaho, Llc, a provider established in Boise, Idaho operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1689249369 assigned on May 2021. The practitioner's primary taxonomy code is 261QD1600X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Robin Jacome (Sr. Business Director)
- NPI
- 1689249369 Verify this NPI
- Provider Name
- REM IDAHO, LLC
- Entity Type
- Organization
- Location Address
- 9627 W MEDALLION DR BOISE, ID 83709
- Location Phone
- (951) 201-5914
- Mailing Address
- 9166 ANAHEIM PL STE 200 RANCHO CUCAMONGA, CA 91730
- Mailing Phone
- (951) 201-5914
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-25-2021
- Last Update Date
- 05-26-2021
- 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
Clinic/Center Developmental Disabilities
- Taxonomy Code
- 261QD1600X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689249369, enumerated as an "organization" on May 25, 2021.
The provider is located at 9627 W MEDALLION DR BOISE, ID 83709 and the phone number is (951) 201-5914.
Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.