DIAMOND DEVELOPMENTAL CENTER INC (NPI# 1144366576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144366576 |
| Entity Type | Organization |
| Organization Name | DIAMOND DEVELOPMENTAL CENTER INC |
| Practice Address |
915 Parkcentre Way Ste 2 Suite 102 Nampa ID 83651-1748 |
| Mailing Address |
811 12th Ave S Nampa ID 83651-4656 |
| Practice Telephone | 2084655114 |
| Mailing Telephone | 2084655114 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-05-05 |
| Authorized Official Name | DR. DAN FAZZINI (PRESIDENT) |
| Authorized Official Telephone | 2084655114 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | 4DIMOND036 | ID | Agencies |
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 3DIMIND006 | ID | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002621500 | 05 | |
| ID | 002621700 | 05 | |
| ID | 806166400 | 05 | |
| ID | 0026221800 | 05 |
| Street Address |
915 PARKCENTRE WAY STE 2 SUITE 102 |
| City | NAMPA |
| State | ID |
| Zip Code | 83651-1748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376090985 | Stephen Michael Wren | Physician Assistant | 11035 W Karcher Rd, Nampa, ID 83651 | 2016-09-01 |
| 1104203157 | Jeremy Thorson | Social Worker | 456 West Orchard Ave., Apt D305, Nampa, ID 83651 | 2015-04-29 |
| 1134527708 | Community Health Clinics Inc | Clinic/Center | 207 1st Street S, Nampa, ID 83651 | 2014-12-15 |
| 1326455429 | Michelle Murchie | Pharmacist | 175 S. Middleton Rd, Nampa, ID 83651 | 2014-07-21 |
| 1700215373 | Stanley A Gillett | Chiropractor | 107 14th Ave S, Nampa, ID 83651 | 2013-11-04 |
| 1477996205 | James L Fries | Counselor | 847 Park Centre Way, Suite 5, Nampa, ID 83651 | 2013-04-11 |
| 1023367240 | Erin Westfall | Speech-Language Pathologist | 168 Mcclure Avenue, Nampa, ID 83651 | 2012-09-04 |
| 1487949475 | Erik Steven Linn | Family Medicine | 11035 W. Karcher Road, Nampa, ID 83651 | 2011-06-17 |
| 1720398647 | At Your Service Home Health Care LLC | In Home Supportive Care | 321 2nd St S Ste 103, Nampa, ID 83651 | 2010-10-13 |
| 1144544206 | Petra Morrison | Community/Behavioral Health | 1031 W. Sanetta St., Nampa, ID 83651 | 2010-03-18 |
| Find all providers in zip 83651 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447557335 | The Lilypad, LLC | Day Training, Developmentally Disabled Services | 2010 W Rosten Ave, Nampa, ID 83686-4854 | 2011-02-11 |
| 1902126394 | H.e.a.r.t. Incorporated | Day Training, Developmentally Disabled Services | 1823 Ventura Dr, Nampa, ID 83686-6228 | 2010-06-08 |
| 1598932493 | Judy Ann Stallcop | Day Training, Developmentally Disabled Services | 836 W Locust Ln, Nampa, ID 83686-8231 | 2008-05-11 |
| 1871795302 | A New Life Mental Health | Day Training, Developmentally Disabled Services | 1808 N Midland Blvd, Nampa, ID 83651-1747 | 2007-06-05 |
| 1487869939 | Western Idaho Training Company, Inc | Day Training, Developmentally Disabled Services | 122 West Georgia Avenue, Nampa, ID 83686 | 2007-05-10 |
| 1316061054 | Advanced Services LLC | Day Training, Developmentally Disabled Services | 210 E Carol St, Nampa, ID 83687-3820 | 2007-03-19 |
| 1295879542 | High Valley Developmental | Day Training, Developmentally Disabled Services | 4806 Southside Blvd, Nampa, ID 83686-8919 | 2007-02-19 |
| 1770632747 | Advocates for Inclusion | Day Training, Developmentally Disabled Services | 958 W Corporate Ln, Nampa, ID 83651-1909 | 2007-01-09 |
| 1588056865 | Centerpointe, Inc. | Day Training, Developmentally Disabled Services | 915 Parkcentre Way Ste 7, Nampa, ID 83651-1748 | 2015-02-24 |
| 1740400803 | Advocates for Inclusion | Day Training, Developmentally Disabled Services | 958 W Corporate Ln, Nampa, ID 83651-1909 | 2007-04-30 |
| Find all providers in NAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.