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HUMAN SUPPORTS OF IDAHO, INC.
NPI 1902949548
Community/Behavioral Health in Boise, ID

Active since February 14, 2007
4477 W EMERALD ST, SUITE C-100, BOISE, ID 83706(208) 321-0160(208) 321-0221 Get Directions Write a Review

NPPES record last updated: December 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Human Supports Of Idaho, Inc. NPPES

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

HUMAN SUPPORTS OF IDAHO, INC. (NPI 1902949548) is a healthcare organization registered as a community/behavioral health in Boise, Idaho and active in the NPI registry since February 2007. The organization lists Gregory L Dickerson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1902949548
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameHUMAN SUPPORTS OF IDAHO, INC.
Location Address4477 W EMERALD ST, SUITE C-100Boise, ID 83706-2000
Mailing AddressPo Box 820Caldwell, ID 83606-0820 · (208) 454-8389 · Fax (208) 454-8404
Phone(208) 321-0160
Fax(208) 321-0221
Organization SubpartNo
Authorized OfficialGregory L DickersonAdministrator · (208) 321-0160
Enumeration DateFebruary 14, 2007
Last NPPES UpdateDecember 18, 2012
✔ NPI 1902949548 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.
4477 W EMERALD ST, Boise, ID 83706
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Other Identifiers 1

Medicaid807345800ID

Other Providers at the Same Location NPPES 12

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

BECKY JO BAILEY LCSW
Social Worker (Clinical)
4477 W EMERALD ST
BOISE, ID 83706
Ada County (208) 321-0160
MRS. SHANNON MARIE KESSLER LMSW
Social Worker
4477 W EMERALD ST, SUITE C-100
BOISE, ID 83706
Ada County (208) 321-0160
RICK BOYES LPC
Counselor (Mental Health)
4477 W EMERALD ST, SUITE C-110
BOISE, ID 83706
Ada County (208) 344-3070
HUMAN SUPPORTS OF IDAHO, INC.
Community/Behavioral Health
4477 W EMERALD ST, STE C-100
BOISE, ID 83706
Ada County (208) 321-0160
KEVIN GARDNER
Social Worker
4477 W EMERALD ST, SUITE C100
BOISE, ID 83706
Ada County (208) 454-8389
GREGORY DICKERSON LCSW
Social Worker (Clinical)
4477 W EMERALD ST, SUITE C100
BOISE, ID 83706
Ada County (208) 321-0160
MR. MICHAEL CHIPPOLLA LCSW ACADC
Social Worker (Clinical)
4477 W EMERALD ST
BOISE, ID 83706
Ada County (208) 713-5250
SHEILA CHAPDELAINE LCSW
Social Worker (Clinical)
4477 W EMERALD ST, C-100
BOISE, ID 83706
Ada County (208) 321-0160

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 Human Supports Of Idaho, Inc.'s NPI number?

The NPI number for Human Supports Of Idaho, Inc. is 1902949548. It was assigned to this organization in the NPPES registry on February 14, 2007.

Where is Human Supports Of Idaho, Inc. located?

Human Supports Of Idaho, Inc. is located at 4477 W Emerald St Suite C-100, Boise, ID 83706. The listed phone number is (208) 321-0160.

What is Human Supports Of Idaho, 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 Human Supports Of Idaho, Inc. was last updated on December 18, 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.