Active NPI
Midnight Oil LTD.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Twin Falls, ID
National Provider Identifier
1295729283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- MIDNIGHT OIL LTD.
- Practice address
- 798 Lawrence Ave
Twin Falls, ID 83301-3635 - Phone
- (208) 324-6776
- Fax
- (208) 324-6636
- NPI assigned
- Sep 6, 2005
- 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
- Rob Bennett
- Title
- Program Director
- Phone
- (208) 324-6776
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 5MVDEV037 | ID | |
| Nursing Care Agency | 251J00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
798 Lawrence Ave
Twin Falls, ID 83301-3635
Mailing address
498 Falls Ave W
Twin Falls, ID 83301-3689
Phone (208) 324-6776
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806868800 | Medicaid | ID | |
| 806706300 | Medicaid | ID | |
| 806659900 | Medicaid | ID | |
| 807037200 | Medicaid | ID | |
| 807628200 | Medicaid | ID | |
| 806667800 | Medicaid | ID | |
| 807035800 | Medicaid | ID |
Other names 1
- MDC Magic Valley
National Provider Directory
National Provider Directory- Tax ID family
- MDC Magic Valley
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Twin Falls, ID
- NPI 1518185628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327363200000",
"number": "1295729283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "498 FALLS AVE W",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833013689",
"telephone_number": "208-324-6776",
"fax_number": "208-324-6636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "798 LAWRENCE AVE",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833013635",
"telephone_number": "208-324-6776",
"fax_number": "208-324-6636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDNIGHT OIL LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-06",
"last_updated": "2012-01-24",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "ROB",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "208-324-6776"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "ID",
"license": "5MVDEV037",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806868800",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806706300",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806659900",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807037200",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807628200",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806667800",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807035800",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MDC Magic Valley",
"code": "3",
"type": "Doing Business As"
}
]
}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 Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.