EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC.
NPI 1730204116
Community/Behavioral Health in Boise, ID

Active since March 21, 2007
1465 S VINNELL WAY, BOISE, ID 83709(208) 378-9924(208) 378-9965 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Easterseals-goodwill Northern Rocky Mountain, Inc. NPPES

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

EASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC. (NPI 1730204116) is a healthcare organization registered as a community/behavioral health in Boise, Idaho and active in the NPI registry since March 2007. The organization lists Mark Sherman, Cfo, as its authorized official.

NPPES Registry Identity

NPI1730204116
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEASTERSEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC.
Location Address1465 S VINNELL WAYBoise, ID 83709-1659
Mailing Address425 1st Ave NGreat Falls, MT 59401-2507 · (406) 761-3680 · Fax (406) 761-1390
Fax(208) 378-9965
Organization SubpartNo
Authorized OfficialMark ShermanCfo · (406) 771-3762
Enumeration DateMarch 21, 2007
Last NPPES UpdateMarch 26, 2019
NPI 1730204116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1465 S VINNELL WAY, Boise, ID 83709

Other Identifiers 3

Medicaid806648000ID
Medicaid80636100ID
Medicaid806361001ID

Other Providers at the Same Location NPPES 2

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

Case Management
1465 S VINNELL WAY
BOISE, ID 83709
Day Training, Developmentally Disabled Services
1465 S VINNELL WAY
BOISE, ID 83709

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 Easterseals-Goodwill Northern Rocky Mountain, Inc.'s NPI number?

The NPI number for Easterseals-Goodwill Northern Rocky Mountain, Inc. is 1730204116. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Easterseals-Goodwill Northern Rocky Mountain, Inc. located?

Easterseals-Goodwill Northern Rocky Mountain, Inc. is located at 1465 S Vinnell Way, Boise, ID 83709. The listed phone number is (208) 378-9924.

What is Easterseals-Goodwill Northern Rocky Mountain, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Easterseals-Goodwill Northern Rocky Mountain, Inc. was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.