Active NPI
C and R Inc.
- Developmentally Disabled Services Day Training Agency
- Moscow, ID
National Provider Identifier
1073790309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 807128100
- Legal business name
- C AND R INC.
- Practice address
- 1107 S Logan St
Moscow, ID 83843-3124 - Phone
- (208) 882-8040
- Fax
- (208) 882-9050
- NPI assigned
- Jan 29, 2008
- Last updated
- Jan 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Vicki Inez Baker
- Title
- Owner
- Phone
- (208) 882-8040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 807128100 | ID | Primary |
Addresses
Primary practice location
1107 S Logan St
Moscow, ID 83843-3124
Mailing address
1107 S Logan St
Moscow, ID 83843-3124
Phone (208) 882-8040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807128100 | Medicaid | ID |
National Provider Directory
National Provider Directory- Tax ID family
- C and R Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Moscow, ID
- NPI 1558482711
-
- Nursing Care Agency
- Moscow, ID
- NPI 1376913954
Locations
1107 Logan St
Moscow, ID 83843
Phone (208) 882-8040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201564800000",
"number": "1073790309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 S LOGAN ST",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838433124",
"telephone_number": "208-882-8040",
"fax_number": "208-882-9050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 S LOGAN ST",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838433124",
"telephone_number": "208-882-8040",
"fax_number": "208-882-9050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C AND R INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-29",
"last_updated": "2008-01-29",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "VICKI",
"authorized_official_middle_name": "INEZ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-882-8040",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "ID",
"license": "807128100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807128100",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.