HUMAN SUPPORTS OF IDAHO
NPI 1700129491
General Practice in Caldwell, ID

Active since April 01, 2013
206 E ELM ST, CALDWELL, ID 83605(208) 454-8389(208) 454-8404 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 23, 2025, Mar 8, 2023 (2 updates tracked since 2023).

About Human Supports Of Idaho NPPES

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

HUMAN SUPPORTS OF IDAHO (NPI 1700129491) is a healthcare organization registered as a general practice in Caldwell, Idaho and active in the NPI registry since April 2013. The organization maintains a secondary practice location in Boise and lists Alita Ruby, Administrative Service Manager, as its authorized official.

NPPES Registry Identity

NPI1700129491
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameHUMAN SUPPORTS OF IDAHO
Location Address206 E ELM STCaldwell, ID 83605-4815
Mailing Address4477 W Emerald St Ste C100Boise, ID 83706-2058 · (208) 321-0160 · Fax (208) 321-0221
Fax(208) 454-8404
Organization SubpartNo
Authorized OfficialAlita RubyAdministrative Service Manager · (208) 454-8389
Enumeration DateApril 1, 2013
Last NPPES UpdateDecember 23, 20252 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
✔ NPI 1700129491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPhysician AssistantTaxonomy 363A00000X
206 E ELM ST, Caldwell, ID 83605

Secondary Practice Location 1

Location 14477 W Emerald St Ste C100Boise, ID 83706-2058 · Phone (208) 321-0160 · Fax (208) 321-0221

Other Identifiers 1

Other20002419ID · Medicare Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Human Supports Of Idaho is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Human Supports Of Idaho, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Mental Health Counselor4
Nurse Practitioner3
Clinical Social Worker1
Professional Counselor1
Psychiatry1

Clinicians, nearest first (10)

Mental Health Counselor
NPI 1194552240
314 BADIOLA ST
Caldwell, ID 83605
(208) 454-8389
✔ PECOS✔ Accepts Medicare1.3 mi
Mental Health Counselor
NPI 1720799612
204 10TH AVE S
Nampa, ID 83651
(208) 466-2229
✔ PECOS✔ Accepts Medicare8.4 mi
Mental Health Counselor
NPI 1942899919
1711 S MILLENIUM WAY STE 110
Meridian, ID 83642
(208) 724-3996
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1346768330
2321 E GALA ST STE 3
Meridian, ID 83642
(208) 888-5848
✔ PECOS✔ Accepts Medicare17 mi
Professional Counselor
NPI 1184873952
2316 N COLE RD
Boise, ID 83704
(208) 342-2950
✔ PECOS✔ Accepts Medicare21 mi
Clinical Social Worker
NPI 1568156693
4477 W EMERALD ST STE C100
Boise, ID 83706
(208) 321-0160
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1265157531
4477 W EMERALD ST STE C100
Boise, ID 83706
(833) 719-0886
✔ PECOS✔ Accepts Medicare23 mi
Nurse Practitioner
NPI 1699643866
269 106TH ST
Orofino, ID 83544
(850) 512-6766
✔ PECOS✔ Accepts Medicare197 mi
Mental Health Counselor
NPI 1588212450
2 5TH ST N STE 201
Great Falls, MT 59401
(406) 781-4414
✔ PECOS✔ Accepts Medicare373 mi
Psychiatry
NPI 1609010156
2034 DE LA VINA ST
Santa Barbara, CA 93105
(805) 681-5450
✔ PECOS✔ Accepts Medicare655 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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's NPI number?

The NPI number for Human Supports Of Idaho is 1700129491. It was assigned to this organization in the NPPES registry on April 1, 2013.

Where is Human Supports Of Idaho located?

Human Supports Of Idaho is located at 206 E Elm St, Caldwell, ID 83605. The listed phone number is (208) 454-8389.

What is Human Supports Of Idaho's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Human Supports Of Idaho enrolled in Medicare?

Yes. Human Supports Of Idaho is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Human Supports Of Idaho?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Human Supports Of Idaho. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (4), Nurse Practitioner (3) and Clinical Social Worker (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Human Supports Of Idaho accept?

Health plans from Moda Health Plan, Inc. list Human Supports Of Idaho as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Human Supports Of Idaho was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.