Supportive Housing and Innovative Partnerships

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUPPORTIVE HOUSING AND INNOVATIVE PARTNERSHIPS

Practice address

305 E 37TH St
Garden City, ID 83714-6419

Phone

(208) 331-0900

Fax

(208) 331-0904

NPI assigned

Jan 24, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Dale Widick, LMSWNPI 1538088331

Title

Executive Director

Phone

(208) 412-8338

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Dale Widick, LMSW

  • Social Worker
  • Garden City, ID
  • NPI 1538088331
  NPD (past) Authorized official

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1336901560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8803",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837072803",
            "telephone_number": "208-331-0900",
            "fax_number": "208-331-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E 37TH ST",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837146419",
            "telephone_number": "208-331-0900",
            "fax_number": "208-331-0904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5454 N Mitchell St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837042250",
            "country_code": "US",
            "telephone_number": "208-331-0900",
            "fax_number": "208-331-0904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 S Jolinda Ave",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837091737",
            "country_code": "US",
            "telephone_number": "208-331-0900",
            "fax_number": "208-331-0904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2720 N Reno Way",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837045815",
            "country_code": "US",
            "telephone_number": "208-331-0900",
            "fax_number": "208-331-0904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2054 S Shoshone St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837053441",
            "country_code": "US",
            "telephone_number": "208-331-0900",
            "fax_number": "208-331-0904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1704 Dearborn St",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "ID",
            "postal_code": "836055039",
            "country_code": "US",
            "telephone_number": "208-331-0900",
            "fax_number": "208-331-0904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 N Clover Dr",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837035714",
            "country_code": "US",
            "telephone_number": "208-331-0900",
            "fax_number": "208-331-0904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1286 N Aster Pl",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837048021",
            "country_code": "US",
            "telephone_number": "208-331-0900",
            "fax_number": "208-331-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUPPORTIVE HOUSING AND INNOVATIVE PARTNERSHIPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "WIDICK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "208-412-8338",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Garden City, ID
• Providers in Garden City, 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 Jan 24, 2024; 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.