East Idaho Youth Homes LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EAST IDAHO YOUTH HOMES LLC

Practice address

550 Linden Dr
Idaho Falls, ID 83401-4149

Phone

(208) 360-8102

NPI assigned

Feb 10, 2023

Organization subpart

No

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

Authorized official

Name

Karen Faye Tornkvist

Title

Chief Administrator

Phone

(208) 360-8102

Specialties & licenses 4

Addresses

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• East Idaho Youth Homes LLC Dda

  • Developmental Disabilities Clinic/Center
  • Ammon, ID
  • NPI 1316648546
  NPPES parent name
• Eiyh Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Ammon, ID
  • NPI 1730880964
  NPPES parent name

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1306543228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 LINDEN DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014149",
            "telephone_number": "208-360-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 LINDEN DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014149",
            "telephone_number": "208-360-8102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1061 Curlew Dr",
            "address_purpose": "LOCATION",
            "city": "Ammon",
            "state": "ID",
            "postal_code": "834064766",
            "country_code": "US",
            "telephone_number": "208-360-8102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST IDAHO YOUTH HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "TORNKVIST",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATOR",
        "authorized_official_telephone_number": "208-360-8102"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "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": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• East Idaho Residential Habilitation LLC
• East Idaho Surgical Assisting, LLC
• East Idaho Wound Care LLC
• Eastern Idaho Cardiology Associates, PLLC
• Eastern Idaho Chiropractic Clinic PA
• Eastern Idaho Community Action Partnership
• Eastern Idaho Endodontics
• Eastern Idaho Foot Clinic

• Mental Health Counselor in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.