Exceptional Child Center, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

5CIL019 Issued in ID

Legal business name

EXCEPTIONAL CHILD CENTER, INC.

Practice address

1411 Falls Ave E Ste 703
Twin Falls, ID 83301-3455

Phone

(208) 734-8973

Fax

(208) 734-1075

NPI assigned

Jan 16, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Rene Stephens

Title

Administrator

Phone

(208) 734-8973

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Center for Independent Living Doing business as

Tax ID family

Center for Independent Living3 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.

• Exceptional Child Center, Inc.

  • Day Training/Habilitation Specialist
  • Twin Falls, ID
  • NPI 1225540537
  NPD tax ID
• Exceptional Child Center, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Twin Falls, ID
  • NPI 1740303122
  NPD tax ID

Locations

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1154568822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 FALLS AVE E STE 703",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013455",
            "telephone_number": "208-734-8973",
            "fax_number": "208-734-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 FALLS AVE E STE 703",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013455",
            "telephone_number": "208-734-8973",
            "fax_number": "208-734-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL CHILD CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-734-8973",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "ID",
            "license": "5CIL019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8068649",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Independent Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Wainani Evans
• Scott Bruce Evans
• Evelyn Mallea, CHTD
• Evergreen Integrative Mental Health Care
• Evergreen Physical Therapy, Inc
• Exceptional Child Center, Inc.
• Exceptional Child Center, Inc.
• Eyecenter PA
• Eyemart Express LLC
• Christopher Adam Eyre, MD

• Developmentally Disabled Services Day Training Agency in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Developmentally Disabled Services Day Training Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.