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MOUNTAIN HOME
NPI 1740532118
Clinic/Center - Adult Mental Health in Mountain Home, ID

Active since October 10, 2012
2850 INDUSTRIAL WAY, MOUNTAIN HOME, ID 83647(208) 587-2679 Get Directions Write a Review

NPPES record last updated: October 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mountain Home NPPES

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

MOUNTAIN HOME (NPI 1740532118) is a healthcare organization registered as an adult mental health in Mountain Home, Idaho and active in the NPI registry since October 2012. The organization lists Chris Banken, Sr. Vice President Of Operations, as its authorized official.

NPPES Registry Identity

NPI1740532118
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameSEQUEL TSI OF IDAHO, LLC
Location Address2850 INDUSTRIAL WAYMountain Home, ID 83647-3960
Mailing Address2850 Industrial WayMountain Home, ID 83647-3960
Phone(208) 587-2679
Organization SubpartYesParent: Sequel Tsi Holdings
Authorized OfficialChris BankenSr. Vice President Of Operations · (602) 335-2095
Enumeration DateOctober 10, 2012
✔ NPI 1740532118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
2850 INDUSTRIAL WAY, Mountain Home, ID 83647
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Other Names 1

Doing Business AsMountain Home

Other Providers at the Same Location NPPES 3

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

SEQUEL TSI OF IDAHO, LLC
Residential Treatment Facility, Emotionally Disturbed Children
2850 INDUSTRIAL WAY
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-2679
SEQUEL TSI OF IDAHO
Community/Behavioral Health
2850 INDUSTRIAL WAY
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-2679
SEQUEL TSI OF IDAHO, LLC
Clinic/Center (Adolescent and Children Mental Health)
2850 INDUSTRIAL WAY
MOUNTAIN HOME, ID 83647
Elmore County (208) 587-2679

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 Sequel Tsi Of Idaho, LLC's NPI number?

The NPI number for Sequel Tsi Of Idaho, LLC is 1740532118. It was assigned to this organization in the NPPES registry on October 10, 2012. The provider is doing business as Mountain Home.

Where is Sequel Tsi Of Idaho, LLC located?

Sequel Tsi Of Idaho, LLC is located at 2850 Industrial Way, Mountain Home, ID 83647. The listed phone number is (208) 587-2679.

What is Sequel Tsi Of Idaho, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Sequel Tsi Of Idaho, LLC was last updated on October 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.