Active NPI
Inclusion South, Inc.
- Developmentally Disabled Services Day Training Agency
- Twin Falls, ID
National Provider Identifier
1285855759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 5INCLUS068
- 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, 2020
- 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
- Robert Chaney
- Title
- Comptroller
- Phone
- (208) 888-1758
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8059885 | Medicaid | ID |
National Provider Directory
National Provider Directory- Tax ID family
- Inclusion South Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Care Agency
- Twin Falls, ID
- NPI 1417162728
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
- Idaho Oral & Maxillofacial Surgery, PC
- Idaho Prosthetics & Orthotics, Inc.
- Ideal Option, PLLC
- In Session Therapy Solutions PLLC
- Inclusion South, Inc
- Infused Health LLC
- Innovative Family Medicine of Idaho PLLC
- Innovative Medical Imaging, PLLC
- Inspiring Independence PLLC
- Intermountain Spine and Orthopedics, PC
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.