Diamond Developmental Center Inc
LBN: Diamond Developmental Center Inc
Diamond Developmental Center Inc is an health care organization with primary practice located at 915 Parkcentre Way Ste 2 Suite 102, Nampa ID 83651-1748. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty.
Diamond Developmental Center Inc can be contacted via phone (208) 465-5114, or through Fazzini, Dan via phone (208) 465-5114.
Contact Information
Primary practice address
915 Parkcentre Way Ste 2 Suite 102
Nampa ID 83651-1748
Phone: (208) 465-5114
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | 3DIMIND006 | Idaho |
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | 4DIMOND036 | Idaho |
Profile Details
| NPI number | 1144366576 |
|---|---|
| LBN Legal business name | Diamond Developmental Center Inc |
| DBA Doing business as | |
| Authorized official | Fazzini, Dan PHD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | May 5th, 2008 - about 16 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144366576 | NPPES |
| Idaho | MEDICAID | 0026221800 | |
| Idaho | MEDICAID | 806166400 | |
| Idaho | MEDICAID | 002621500 | |
| Idaho | MEDICAID | 002621700 |
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