IDAHO YOUTH RANCH
NPI 1952738262
Clinic/Center - Adolescent and Children Mental Health in Boise, ID

Active since October 01, 2013
5465 W IRVING ST, BOISE, ID 83706(208) 377-2613 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2023, May 23, 2022, Feb 23, 2022 (3 updates tracked since 2022).

About Idaho Youth Ranch NPPES

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

IDAHO YOUTH RANCH (NPI 1952738262) is a healthcare organization registered as an adolescent and children mental health in Boise, Idaho and active in the NPI registry since October 2013. The organization lists Kimberly Thomas, Cfo, as its authorized official.

NPPES Registry Identity

NPI1952738262
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameIDAHO YOUTH RANCH
Location Address5465 W IRVING STBoise, ID 83706-1213
Mailing Address5465 W Irving StBoise, ID 83706-1213
Organization SubpartNo
Authorized OfficialKimberly ThomasCfo · (208) 377-2613
Enumeration DateOctober 1, 2013
Last NPPES UpdateApril 6, 20233 updates tracked since enumeration
NPPES CertifiedApril 6, 2023
NPI 1952738262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

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.
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
5465 W IRVING ST, Boise, ID 83706

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 Idaho Youth Ranch's NPI number?

The NPI number for Idaho Youth Ranch is 1952738262. It was assigned to this organization in the NPPES registry on October 1, 2013.

Where is Idaho Youth Ranch located?

Idaho Youth Ranch is located at 5465 W Irving St, Boise, ID 83706. The listed phone number is (208) 377-2613.

What is Idaho Youth Ranch'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 Idaho Youth Ranch was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.