Human Supports Of Idaho, Inc.

LBN: Human Supports Of Idaho, Inc.
Human Supports Of Idaho, Inc. is an health care organization with primary practice located at 4477 W Emerald St Suite C-100, Boise ID 83706-2000. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Human Supports Of Idaho, Inc. can be contacted via phone (208) 321-0160, or through Dickerson, Gregory L via phone (208) 321-0160.

Contact Information

Primary practice address
4477 W Emerald St Suite C-100 Boise ID 83706-2000
Phone: (208) 321-0160
Fax: (208) 321-0221
Website:
Map and Directions
Authorized official contact:
Name: Dickerson, Gregory L LMSW
Phone: (208) 321-0160

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1902949548
LBN Legal business name Human Supports Of Idaho, Inc.
DBA Doing business as
Authorized official Dickerson, Gregory L LMSW
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Dec 18th, 2012 - about 13 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 1902949548 NPPES
Idaho MEDICAID 807345800

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