Organization Active NPI

Inclusion North, Inc

  • Nursing Care Agency
  • Moscow, ID
National Provider Identifier
1407069438
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
INCLUSION NORTH, INC
Practice address
213 N Main St
Suite #1
Moscow, ID 83843-2700
Phone
(208) 883-8041
Fax
(208) 882-4079
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Chaney
Title
Comptroller
Phone
(208) 888-1758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X ID Primary

Addresses

Primary practice location

213 N Main St
Suite #1
Moscow, ID 83843-2700

Mailing address

880 E Franklin Rd
#303
Meridian, ID 83642-6099
Phone (208) 888-1758

Other identifiers 1

IdentifierTypeStateIssuer
8052062MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
Inclusion North Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

213 N Main St
Ste 1
Moscow, ID 83843
Phone (208) 883-8041

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407069438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 E FRANKLIN RD",
            "address_2": "#303",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426099",
            "telephone_number": "208-888-1758",
            "fax_number": "208-895-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N MAIN ST",
            "address_2": "SUITE #1",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432700",
            "telephone_number": "208-883-8041",
            "fax_number": "208-882-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCLUSION NORTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "208-888-1758"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8052062",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

  • 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.