AMBITIONS OF IDAHO INC (NPI# 1730615972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730615972 |
Entity Type | Organization |
Organization Name | AMBITIONS OF IDAHO INC |
Practice Address |
1044 Northwest Blvd Ste F Coeur D Alene ID 83814-2165 |
Practice Telephone | 2086769385 |
Mailing Telephone | 2086769385 |
Enumeration Date | 2017-05-09 |
Last Update Date | 2017-05-09 |
Authorized Official Name | SHANE HAGEL (PRESIDENT) |
Authorized Official Telephone | 2086769385 |
Is Organization Subpart | Y |
Parent Organization Name | AMBITIONS INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | DDA-5359 | ID | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912433152 | Ambitions of Idaho Inc | Home Health | 1044 Northwest Blvd Ste F, Coeur D Alene, ID 83814-2165 | 2017-05-09 |
Street Address |
1044 NORTHWEST BLVD STE F |
City | COEUR D ALENE |
State | ID |
Zip Code | 83814-2165 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912433152 | Ambitions of Idaho Inc | Home Health | 1044 Northwest Blvd Ste F, Coeur D Alene, ID 83814-2165 | 2017-05-09 |
1649825597 | Colleen K Devlin | Counselor | 1044 Northwest Blvd Ste F, Coeur D Alene, ID 83814-2165 | 2019-08-07 |
1629623194 | Sara Brittany Lewis | Social Worker | 1044 Northwest Blvd Ste F, Coeur D Alene, ID 83814-2165 | 2019-08-01 |
1689133050 | Ambitions of Idaho, Inc. | Clinic/Center | 1044 Northwest Blvd Ste F, Coeur D Alene, ID 83814-2165 | 2019-03-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
Find all providers in zip 83814 |
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 |
---|---|---|---|---|
1871935064 | Community Connections North, Inc. | Day Training, Developmentally Disabled Services | 1230 N Northwood Center Ct, Suite A, Coeur D Alene, ID 83814-4941 | 2013-07-29 |
1255455507 | Tesh, Inc. | Day Training, Developmentally Disabled Services | 3803 Industrial Ave S, Coeur D Alene, ID 83815-8916 | 2007-03-19 |
1396141305 | Renewed Horizons, LLC | Day Training, Developmentally Disabled Services | 610 W Hubbard St, Bay 218, Coeur D Alene, ID 83814-2285 | 2014-11-18 |
1235354705 | Family Support Services of North Idaho | Day Training, Developmentally Disabled Services | 1115 W Ironwood Dr, Suite C, Coeur D Alene, ID 83814-4936 | 2007-04-17 |
1407971625 | Tesh, Inc. | Day Training, Developmentally Disabled Services | 3803 Industrial Ave S, Coeur D Alene, ID 83815-8916 | 2007-03-20 |
1982728473 | Tesh, Inc. | Day Training, Developmentally Disabled Services | 3803 Industrial Ave S, Coeur D Alene, ID 83815-8916 | 2007-03-19 |
1700900057 | Tesh, Inc. | Day Training, Developmentally Disabled Services | 3803 Industrial Ave S, Coeur D Alene, ID 83815-8916 | 2007-03-19 |
1619091964 | Tesh, Inc. | Day Training, Developmentally Disabled Services | 3803 Industrial Ave S, Coeur D Alene, ID 83815-8916 | 2007-03-19 |
1831232768 | Highroad Human Services, Inc. | Day Training, Developmentally Disabled Services | 2201 N Government Way, Suite B, Coeur D Alene, ID 83814-3658 | 2007-02-14 |
1023151958 | Highroad Human Services, Inc. | Day Training, Developmentally Disabled Services | 2201 N Government Way, Suite B, Coeur D Alene, ID 83814-3658 | 2007-02-14 |
Find all providers in COEUR D ALENE |
City | COEUR D ALENE |
Zip Code | 83814 |
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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.