Idaho Youth Ranch

LBN: Idaho Youth Ranch
Idaho Youth Ranch is an health care organization with primary practice located at 5465 W Irving St , Boise ID 83706-1213. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Respite Care Facility / Respite Care, Mental Illness, Child. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Idaho Youth Ranch can be contacted via phone (208) 377-2613, or through Thomas, Kimberly via phone (208) 377-2613.

Contact Information

Primary practice address
5465 W Irving St Boise ID 83706-1213
Phone: (208) 377-2613
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Kimberly CPA
Phone: (208) 377-2613

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X Idaho
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X

Profile Details

NPI number 1952738262
LBN Legal business name Idaho Youth Ranch
DBA Doing business as
Authorized official Thomas, Kimberly CPA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2013
Last updated Apr 6th, 2023 - 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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