Human Supports Of Idaho

LBN: Human Supports Of Idaho
Human Supports Of Idaho is an health care organization with primary practice located at 4477 W Emerald St Ste C-100, Boise ID 83706-2000. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Human Supports Of Idaho can be contacted via phone (208) 454-8389, or through Ruby, Alita via phone (208) 454-8389.

Contact Information

Primary practice address
4477 W Emerald St Ste C-100 Boise ID 83706-2000
Phone: (208) 454-8389
Fax: (208) 454-8404
Website:
Map and Directions
Authorized official contact:
Name: Ruby, Alita
Phone: (208) 454-8389

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Idaho
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1922340124
LBN Legal business name Human Supports Of Idaho
DBA Doing business as
Authorized official Ruby, Alita
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2013
Last updated Oct 13th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922340124 NPPES
Idaho Other 20002419 MEDICARE PTAN

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