High Valley Developmental

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

8065566500 Issued in ID

Legal business name

HIGH VALLEY DEVELOPMENTAL

Practice address

4806 Southside Blvd
Nampa, ID 83686-8919

Phone

(208) 466-4286

Fax

(208) 442-1345

NPI assigned

Feb 19, 2007

Organization subpart

No

Name

Brad Jensen

Title

Owner

Phone

(208) 861-8360

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295879542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4806 SOUTHSIDE BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836868919",
            "fax_number": "208-442-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4806 SOUTHSIDE BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836868919",
            "telephone_number": "208-466-4286",
            "fax_number": "208-442-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH VALLEY DEVELOPMENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-861-8360"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "ID",
            "license": "8065566500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Hesse
• Samuel Timothy Hetherington, DPT
• Kathryn R Heydorn
• Scott R Hiatt, D.O.
• Heather Ann Hieb, LCPC
• Marilyn Nmi Hiller, LCSW-32496
• Michelle Hillman, BCBA
• Hills Behavioral Health Services LLC
• Hills Behavioral Health Services LLC
• Patrice Ferron Hirning, M.D.

• All providers in Nampa, ID
• Developmentally Disabled Services Day Training Agency in Idaho

• 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.