NPIMap

Organization Active NPI

Family Services Center

  • Community/Behavioral Health Agency
  • Caldwell, ID
National Provider Identifier
1205109121
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0HH Issued in ID
Legal business name
FAMILY SERVICES CENTER
Doing business as
Family Services Center
Practice address
704 Albany St
Caldwell, ID 83605-3501
Phone
(208) 454-5133
Fax
(208) 454-0749
NPI assigned
Feb 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Mr. Hector Deleon, LSW MSW CADCNPI 1992131056
Title
Executive Director
Phone
(208) 454-5133

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 0HH ID
Community/Behavioral Health Agency 251S00000X 0HH ID Primary

Addresses

Primary practice location

704 Albany St
Caldwell, ID 83605-3501

Mailing address

704 Albany St
Caldwell, ID 83605-3501
Phone (208) 454-5133

Other names 1

  • Family Services Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1205109121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 ALBANY ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836053501",
            "telephone_number": "208-454-5133",
            "fax_number": "208-454-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 ALBANY ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836053501",
            "telephone_number": "208-454-5133",
            "fax_number": "208-454-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-454-5133",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSW MSW CADC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ID",
            "license": "0HH",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "0HH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Services Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.