EASTER SEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC. (NPI# 1679699540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679699540 |
| Entity Type | Organization |
| Organization Name | EASTER SEALS-GOODWILL NORTHERN ROCKY MOUNTAIN, INC. |
| Practice Address |
1465 S Vinnell Way Boise ID 83709-1659 |
| Mailing Address |
425 1st Ave N Great Falls MT 59401-2507 |
| Practice Telephone | 2083789924 |
| Practice Fax Number | 2083789965 |
| Mailing Telephone | 4067613680 |
| Mailing Fax Number | 4067611390 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2018-02-05 |
| Authorized Official Name | SUSAN DORR (DIRECTOR OF BILLING & REIMBURSEMENT) |
| Authorized Official Telephone | 4067713754 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 806565700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942537543 | Easter Seals-goodwill Northern Rocky Mountain, Inc. | Case Management | 991 Joe St, Sheridan, WY 82801-3163 | 2009-11-03 |
| Street Address |
1465 S VINNELL WAY |
| City | BOISE |
| State | ID |
| Zip Code | 83709-1659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730204116 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Community/Behavioral Health | 1465 S Vinnell Way, Boise, ID 83709-1659 | 2007-03-21 |
| 1770715062 | Easterseals-goodwill Northern Rocky Mountain, Inc. | Day Training, Developmentally Disabled Services | 1465 S Vinnell Way, Boise, ID 83709-1659 | 2009-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
| 1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
| 1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
| 1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
| 1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
| 1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
| Find all providers in zip 83709 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588199277 | Pride Mental Health LLC | Case Management | 8310 W Ustick Rd, Suite 300, Boise, ID 83704-5979 | 2017-05-01 |
| 1982045464 | Agency for Cultural Alliance, LLC | Case Management | 1655 W Fairview Ave Ste 103, Boise, ID 83702-5173 | 2013-07-11 |
| 1285078949 | Brighter Future Health Inc | Case Management | 9196 W Emerald St Ste 135, Boise, ID 83704-8004 | 2013-04-24 |
| 1396094918 | Premiere Case Management | Case Management | 518 N 8th St, Boise, ID 83702-5515 | 2012-08-29 |
| 1699081984 | A Better Life Behavioral Health Services, Inc. | Case Management | 4696 W. Overland Rd., 224, Boise, ID 83705-8103 | 2010-08-24 |
| 1740502830 | Leyline Advocates, LLC | Case Management | 250 W Bobwhite Ct Ste 230, Boise, ID 83706-6656 | 2010-02-17 |
| 1518192970 | A Better Life Mental Health and Addictions Services | Case Management | 2309 N Mountain View Dr, Suite#167, Boise, ID 83706-1000 | 2009-05-28 |
| 1184880924 | Idaho Behavioral Health, Inc. | Case Management | 2273 S. Vista, Suite 190, Boise, ID 83705 | 2008-07-31 |
| 1740463132 | Idaho Center for Autism, LLC | Case Management | 5353 Franklin Rd, Boise, ID 83705-1112 | 2007-12-10 |
| 1194915082 | Cornerstone Psychological Associates, Pllc | Case Management | 1755 Westgate Dr Ste 260, Boise, ID 83704-7176 | 2007-07-27 |
| Find all providers in BOISE | ||||
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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.