Family Pathways Cooperative, Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

FAMILY PATHWAYS COOPERATIVE, INC

Practice address

34 Louella St
Blackfoot, ID 83221-1609

Phone

(208) 782-1322

Fax

(208) 782-1322

NPI assigned

Aug 11, 2006

Last updated

Oct 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandee K. Young, LCSWNPI 1215177704

Title

Administrator

Phone

(208) 782-1322

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Tax ID family

Family Pathways3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Family Pathways

  • Developmentally Disabled Services Day Training Agency
  • Blackfoot, ID
  • NPI 1124243175
  NPD tax ID
• Family Pathways Cooperative

  • Case Management Agency
  • Blackfoot, ID
  • NPI 1629107867
  NPD tax ID

Locations

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.

• Sandee K Young, LCSW

  • Clinical Social Worker
  • Blackfoot, ID
  • NPI 1215177704
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1619988979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LOUELLA ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211609",
            "telephone_number": "208-782-1322",
            "fax_number": "208-782-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 LOUELLA ST",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211609",
            "telephone_number": "208-782-1322",
            "fax_number": "208-782-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PATHWAYS COOPERATIVE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SANDEE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "208-782-1322",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804102000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew J Fackrell, DO
• Family Dental of Blackfoot LLC
• Family Pathways
• Family Pathways Cooperative
• Family Pathways Cooperative, Inc
• Jess Field
• Gail Everett Fields, DO
• Ryan Grant Finn, DO
• Cara Fitzgerald
• Wade H Flowers Jr., PHARM.D., BCPS, CGP

• Developmentally Disabled Services Day Training Agency in Blackfoot, ID
• Providers in Blackfoot, ID by specialty
• Developmentally Disabled Services Day Training Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.