Organization Active NPI

C and R Inc.

  • Developmentally Disabled Services Day Training Agency
  • Moscow, ID
National Provider Identifier
1073790309
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
807128100 Issued in ID
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
807128100MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
C and R Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.