Organization Active NPI

Magic Valley Rehabilitation Services Inc

  • Psychiatric Hospital
  • Twin Falls, ID
National Provider Identifier
1093794703
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
MAGIC VALLEY REHABILITATION SERVICES INC
Practice address
484 Eastland Drive South
Twin Falls, ID 83301-7958
Phone
(208) 734-4112
Fax
(208) 734-1514
NPI assigned
Jan 11, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jeffrey Charles Crumrine
Title
Executive Director
Phone
(208) 734-4112

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 5MVRS020 ID
Psychiatric Hospital 283Q00000X NU Primary

Addresses

Primary practice location

484 Eastland Drive South
Twin Falls, ID 83301-7958

Mailing address

484 Eastland Drive South
Twin Falls, ID 83301-7958
Phone (208) 734-4112

National Provider Directory

National Provider Directory

Locations

484 Eastland Dr S
Twin Falls, ID 83301
Phone (208) 308-5808

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1093794703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 EASTLAND DRIVE SOUTH",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833017958",
            "telephone_number": "208-734-4112",
            "fax_number": "208-734-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 EASTLAND DRIVE SOUTH",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833017958",
            "telephone_number": "208-734-4112",
            "fax_number": "208-734-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC VALLEY REHABILITATION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CRUMRINE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-734-4112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "ID",
            "license": "5MVRS020",
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.