NPIMap

Organization Active NPI

Aspen Ridge Social Services

  • Case Management Agency
  • Emmett, ID
National Provider Identifier
1508223900
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
N-27523 Issued in ID
Legal business name
ASPEN RIDGE SOCIAL SERVICES
Practice address
1522 Michael St
Emmett, ID 83617-9442
Phone
(208) 901-2891
Fax
(208) 365-4205
NPI assigned
Jan 15, 2016
Last updated
Jan 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Jessica Anne LoganNPI 1124492863
Title
Owner
Phone
(208) 901-2891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X N-27523 ID Primary

Addresses

Primary practice location

1522 Michael St
Emmett, ID 83617-9442

Mailing address

1522 Michael St
Emmett, ID 83617-9442
Phone (208) 901-2891

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1508223900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 MICHAEL ST",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179442",
            "telephone_number": "208-901-2891",
            "fax_number": "208-365-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 MICHAEL ST",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836179442",
            "telephone_number": "208-901-2891",
            "fax_number": "208-365-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN RIDGE SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-901-2891"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ID",
            "license": "N-27523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmett, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.