Veteran Community Support Specialists Of Idaho

LBN: Case Managers Of Idaho, Llc
Veteran Community Support Specialists Of Idaho is an health care organization with primary practice located at 6003 W Overland Rd Ste 201 , Boise ID 83709-3076. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Agencies / Community/Behavioral Health, Physician Assistants & Advanced Practice Nursing Providers / Medical. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty. Case Managers Of Idaho, Llc can be contacted via phone (208) 801-6806, or through Kirk, Patrick via phone (208) 801-6806.

Contact Information

Primary practice address
6003 W Overland Rd Ste 201 Boise ID 83709-3076
Phone: (208) 801-6806
Fax: (208) 694-6301
Website:
Map and Directions
Authorized official contact:
Name: Kirk, Patrick
Phone: (208) 801-6806

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X
Agencies / Community/Behavioral Health 251S00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1366007775
LBN Legal business name Case Managers Of Idaho, Llc
DBA Doing business as Veteran Community Support Specialists Of Idaho
Authorized official Kirk, Patrick
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2019
Last updated May 16th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366007775 NPPES
Idaho MEDICAID 1366007775

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