Organization Active NPI

Inclusion South, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Twin Falls, ID
National Provider Identifier
1285855759
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
5INCLUS068 Issued in ID
Legal business name
INCLUSION SOUTH, INC.
Practice address
1411 Falls Ave E
#205
Twin Falls, ID 83301-3455
Phone
(208) 736-7117
Fax
(208) 736-7663
NPI assigned
May 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Chaney
Title
Comptroller
Phone
(208) 888-1758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 5INCLUS068 ID Primary

Addresses

Primary practice location

1411 Falls Ave E
#205
Twin Falls, ID 83301-3455

Mailing address

880 E Franklin Rd
#303
Meridian, ID 83642-6099
Phone (208) 888-1758

Other identifiers 1

IdentifierTypeStateIssuer
8059885MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
Inclusion South Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1411 Falls Ave E
Ste 205
Twin Falls, ID 83301
Phone (208) 736-7117

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285855759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 E FRANKLIN RD",
            "address_2": "#303",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426099",
            "telephone_number": "208-888-1758",
            "fax_number": "208-895-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 FALLS AVE E",
            "address_2": "#205",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013455",
            "telephone_number": "208-736-7117",
            "fax_number": "208-736-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCLUSION SOUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "208-888-1758"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "ID",
            "license": "5INCLUS068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8059885",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.