Organization Active NPI

Idaho Idd Caregiving

  • Developmentally Disabled Services Day Training Agency
  • Heber City, UT
National Provider Identifier
1255049037
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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

Updated by the provider on Nov 9, 2022

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

Authorized official

Name
Austin Wyatt DaviesNPI 1831972439
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)CodeLicenseStatePrimary
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 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, and the practitioner matching its NPPES authorized official.

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

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.

Verify at the official NPI Registry.