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COLE SHANE ODOM
NPI 1821971326
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Nampa, ID

Active since July 30, 2025
3420 S. FORK AVE, NAMPA, ID 83686(208) 250-7733 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cole Shane Odom NPPES

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

COLE SHANE ODOM (NPI 1821971326) is an individual residential treatment facility, intellectual and/or developmental disabilities provider in Nampa, Idaho and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1821971326
Entity TypeIndividualMale
Primary Taxonomy320600000X
Provider Legal NameCOLE SHANE ODOM
Location Address3420 S. FORK AVENampa, ID 83686
Mailing Address3420 S Fork AveNampa, ID 83686-4856 · (970) 589-5060
Phone(208) 250-7733
Sole ProprietorYes
Enumeration DateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1821971326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Also ListedPrivate VehicleTaxonomy 347C00000X
3420 S. FORK AVE, Nampa, ID 83686
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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 Cole Odom's NPI number?

The NPI number for Cole Odom is 1821971326. It was assigned to this individual provider in the NPPES registry on July 30, 2025.

Where is Cole Odom located?

Cole Odom practices at 3420 S. Fork Ave, Nampa, ID 83686. The listed phone number is (208) 250-7733.

What is Cole Odom's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Cole Odom was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.