NPIMap

Organization Active NPI

Family Pathways

  • Developmentally Disabled Services Day Training Agency
  • Blackfoot, ID
National Provider Identifier
1124243175
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
FAMILY PATHWAYS
Practice address
34 Louella St
Blackfoot, ID 83221-1609
Phone
(208) 782-1322
Fax
(208) 782-1322
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Sandee Young, LCSWNPI 1215177704
Title
Administrator
Phone
(208) 782-1322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

34 Louella St
Blackfoot, ID 83221-1609

Mailing address

34 Louella St
Blackfoot, ID 83221-1609
Phone (208) 782-1322

Other identifiers 1

IdentifierTypeStateIssuer
807382400MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
Family Pathways3 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.

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1124243175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LOUELLA ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211609",
            "telephone_number": "208-782-1322",
            "fax_number": "208-782-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 LOUELLA ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211609",
            "telephone_number": "208-782-1322",
            "fax_number": "208-782-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PATHWAYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SANDEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-782-1322",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807382400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackfoot, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.