Exceptional Child Center, Inc.

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

EXCEPTIONAL CHILD CENTER, INC.

Doing business as

Center for Indpendent Living

Practice address

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

Phone

(208) 734-8973

Fax

(866) 319-5722

NPI assigned

Oct 26, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shiela J Lemmons

Title

Office Manager

Phone

(208) 734-8973

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Center for Indpendent 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.

  dba Center for Independent Living

  • Developmentally Disabled Services Day Training Agency
  • Twin Falls, ID
  • NPI 1154568822
  NPD tax ID
• Exceptional Child Center, Inc.

  dba Center for Independent Living

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

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1225540537",
    "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": "866-319-5722"
        },
        {
            "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": "866-319-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL CHILD CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "LEMMONS",
        "authorized_official_first_name": "SHIELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-734-8973"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740303122",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Indpendent Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Bruce Evans
• Evelyn Mallea, CHTD (Magic Valley Counseling Services)
• Evergreen Integrative Mental Health Care
• Evergreen Physical Therapy, Inc
• Exceptional Child Center, Inc. (Center for Independent Living)
• Exceptional Child Center, Inc. (Center for Independent Living)
• Eyecenter PA (Twin Falls Eyecenter)
• Eyemart Express LLC
• Christopher Adam Eyre, MD
• Joseph Ezer, M.D.

• Day Training/Habilitation Specialist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Day Training/Habilitation Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.