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

Q: 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.

Q: What is Human Supports Of Idaho's specialty?

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

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: August 16, 2026.

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

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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

Phone(208) 454-8389

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

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

206 E ELM ST, Caldwell, ID 83605

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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

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 13

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

HODAKA PAUL ABE PA

Physician Assistant