Maitri Community Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

31259 Issued in ID

Legal business name

MAITRI COMMUNITY SERVICES

Practice address

3709 N Locust Grove Rd
Suite 100
Meridian, ID 83646-6449

Phone

(208) 957-5360

Fax

(208) 493-4331

NPI assigned

Jul 20, 2016

Organization subpart

No

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

Authorized official

Name

Lori Nicole Eaton, LCSW

Title

Owner/Provider

Phone

(208) 957-5360

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1306299805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 N LOCUST GROVE RD",
            "address_2": "SUITE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466449",
            "telephone_number": "208-957-5360",
            "fax_number": "208-493-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 N LOCUST GROVE RD",
            "address_2": "SUITE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466449",
            "telephone_number": "208-957-5360",
            "fax_number": "208-493-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAITRI COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "208-957-5360",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "31259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806968300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Maddux, PA-C
• Joseph Maggio, DPT
• Claire Magnolo, PA-C
• Jonathan Eric Main, DC
• Mireya Frances Mains, LMSW
• Maitri Community Services
• Jacob Scott Majors, M.D.
• Kayla Makar
• Makenna Farms LLC
• NA-Ree Kim Malan, D.D.S.

• Community/Behavioral Health Agency in Meridian, ID
• Providers in Meridian, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.