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MOUNTAIN HOME
NPI 1891047296
Clinic/Center - Adolescent and Children Mental Health in Mountain Home, ID

Active since October 09, 2012
2850 INDUSTRIAL WAY, MOUNTAIN HOME, ID 83647(208) 587-2679 Get Directions Write a Review

NPPES record last updated: October 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mountain Home NPPES

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

MOUNTAIN HOME (NPI 1891047296) is a healthcare organization registered as an adolescent and children mental health in Mountain Home, Idaho and active in the NPI registry since October 2012. The organization lists Chris Banken, Sr. Vice Prsident Of Operations, as its authorized official.

NPPES Registry Identity

NPI1891047296
Entity TypeOrganization
Primary Taxonomy261QM0855X
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, Llc
Authorized OfficialChris BankenSr. Vice Prsident Of Operations · (602) 335-2095
Enumeration DateOctober 9, 2012
✔ NPI 1891047296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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 (Adult 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 1891047296. It was assigned to this organization in the NPPES registry on October 9, 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 Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Sequel Tsi Of Idaho, LLC was last updated on October 9, 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.