HUMAN SUPPORTS OF IDAHO, INC
NPI 1972646511
Community/Behavioral Health in Caldwell, ID
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 1972646511) is a healthcare organization registered as a community/behavioral health in Caldwell, Idaho and active in the NPI registry since February 2007. The organization lists Gregory Leroy Dickerson, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Human Supports Of Idaho, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Human Supports Of Idaho, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1972646511. 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 314 Badiola St, Caldwell, ID 83605. The listed phone number is (208) 454-8389.
What is Human Supports Of Idaho, Inc's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Human Supports Of Idaho, Inc enrolled in Medicare?
Yes. Human Supports Of Idaho, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Human Supports Of Idaho, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Human Supports Of Idaho, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (4), Nurse Practitioner (3) and Clinical Social Worker (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Human Supports Of Idaho, Inc was last updated on September 30, 2013. 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.
# Human Supports Of Idaho, Inc · NPI 1972646511
Community/Behavioral Health organization in Caldwell, Idaho. Organization record, active in the CMS NPPES registry since February 14, 2007.
## Identity
- **NPI:** 1972646511 (Entity type: Organization)
- **Enumerated:** February 14, 2007
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Organization subpart:** No
- **Authorized official:** Gregory Dickerson, ADMINISTRATOR
## Practice location
- **Address:** 314 BADIOLA ST, Caldwell, ID 83605-4389
- **Phone:** (208) 454-8389 · **Fax:** (208) 454-8404
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (4), Nurse Practitioner (3), Clinical Social Worker (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 30, 2013
- **Other identifiers:** Medicaid 807338200 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1972646511) · Data from the CMS NPPES public registry.