NPIMap

Organization Active NPI

Advanced Services, LLC

  • Case Management Agency
  • Nampa, ID
National Provider Identifier
1275700718
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ADVANCED SERVICES, LLC
Practice address
210 E Carol St
Nampa, ID 83687-3820
Phone
(208) 461-0438
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Louise Pryor
Title
Administrator
Phone
(208) 461-0438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

210 E Carol St
Nampa, ID 83687-3820

Mailing address

210 E Carol St
Nampa, ID 83687-3820
Phone (208) 461-0438

Other identifiers 2

IdentifierTypeStateIssuer
806246500MedicaidID
806246400MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
Advanced Services LLC3 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.

Locations

210 E Carol St
Nampa, ID 83687
Phone (208) 461-0438

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1275700718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E CAROL ST",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836873820",
            "telephone_number": "208-461-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E CAROL ST",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836873820",
            "telephone_number": "208-461-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-461-0438"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806246500",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806246400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.