NPIMap

Organization Active NPI

Development Workshop, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Idaho Falls, ID
National Provider Identifier
1104948322
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
02396600 Issued in ID
Legal business name
DEVELOPMENT WORKSHOP, INC.
Practice address
555 W 25TH St
Idaho Falls, ID 83402-4527
Phone
(208) 524-1550
Fax
(208) 523-3148
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
McKayla Matlack
Title
Ceo
Phone
(208) 524-1550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 02396600 ID Primary
Adult Day Care Clinic/Center 261QA0600X

Addresses

Primary practice location

555 W 25TH St
Idaho Falls, ID 83402-4527

Mailing address

555 W 25TH St
Idaho Falls, ID 83402-4527
Phone (208) 524-1550

Other names 1

  • DWI Develop Worth Independence Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Development Workshop 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

555 W 25th St
Idaho Falls, ID 83402
Phone (208) 524-1550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1104948322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W 25TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834024527",
            "telephone_number": "208-524-1550",
            "fax_number": "208-523-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W 25TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834024527",
            "telephone_number": "208-524-1550",
            "fax_number": "208-523-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENT WORKSHOP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "MATLACK",
        "authorized_official_first_name": "MCKAYLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-524-1550"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "ID",
            "license": "02396600",
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DWI Develop Worth Independence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

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