Active NPI
Waypoint Developmental Center LLC
- Developmentally Disabled Services Day Training Agency
- Nampa, ID
National Provider Identifier
1376214973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- WAYPOINT DEVELOPMENTAL CENTER LLC
- Practice address
- 1812 N Midland Blvd
Nampa, ID 83651-1747 - Phone
- (208) 949-5596
- NPI assigned
- Sep 23, 2021
- 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
- Gwen Earls, BS, DS, QIDP, IBI
- Title
- Owner/DS
- Phone
- (208) 949-5596
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
1812 N Midland Blvd
Nampa, ID 83651-1747
Mailing address
1812 N Midland Blvd
Nampa, ID 83651-1747
Phone (208) 949-5596
National Provider Directory
National Provider DirectoryLocations
1812 N Midland Blvd
Nampa, ID 83651
Phone (208) 442-2525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632355200000",
"number": "1376214973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 N MIDLAND BLVD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836511747",
"telephone_number": "208-949-5596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1812 N MIDLAND BLVD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836511747",
"telephone_number": "208-949-5596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAYPOINT DEVELOPMENTAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-23",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A",
"authorized_official_last_name": "EARLS",
"authorized_official_first_name": "GWEN",
"authorized_official_title_or_position": "OWNER/DS",
"authorized_official_telephone_number": "208-949-5596",
"authorized_official_credential": "BS, DS, QIDP, IBI"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.