Active NPI
Idaho Idd Caregiving
- Developmentally Disabled Services Day Training Agency
- Heber City, UT
National Provider Identifier
1255049037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- IDAHO IDD CAREGIVING
- Practice address
- 4050 Greener Hills Dr
Heber City, UT 84032-4331 - Phone
- (435) 395-8213
- NPI assigned
- Nov 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Austin Wyatt Davies
- Title
- President
- Phone
- (435) 395-8213
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
4050 Greener Hills Dr
Heber City, UT 84032-4331
Mailing address
4050 Greener Hills Dr
Heber City, UT 84032-4331
Phone (435) 395-8213
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Case Manager/Care Coordinator
- Heber City, UT
- NPI 1831972439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667952000000",
"number": "1255049037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4050 GREENER HILLS DR",
"city": "HEBER CITY",
"state": "UT",
"postal_code": "840324331",
"telephone_number": "435-395-8213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 GREENER HILLS DR",
"city": "HEBER CITY",
"state": "UT",
"postal_code": "840324331",
"telephone_number": "435-395-8213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IDAHO IDD CAREGIVING",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-09",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A",
"authorized_official_last_name": "DAVIES",
"authorized_official_first_name": "AUSTIN",
"authorized_official_middle_name": "WYATT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "435-395-8213"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Heber City, UT
- Jade Holmes, CPBD, CPPD, LMT
- Thomas Berry Huffaker
- Sandra Hughes, FNP-C
- Steven Hughes
- Vicki Hunsaker, MS CCC-SLP
- Ihc Health Services
- Ihc Health Services Inc (Heber Valley Clinic)
- Ihc Health Services Inc (Heber Valley Urgent Care)
- Ihc Health Services Inc (Heber InstaCare)
- Ihc Health Services Inc (Intermountain Health Heber Valley Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.