Organization Active NPI

Manage With Love LLC

  • Developmental Disabilities Clinic/Center
  • Rexburg, ID
National Provider Identifier
1629894423
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
MANAGE WITH LOVE LLC
Practice address
534 Trejo St Ste 200I
Rexburg, ID 83440-5408
Phone
(208) 716-3659
NPI assigned
Nov 26, 2024
Last updated
Nov 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Beth Dummar
Title
Owner
Phone
(208) 716-3659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU Primary

Addresses

Primary practice location

534 Trejo St Ste 200I
Rexburg, ID 83440-5408

Mailing address

PO Box 1025
Rexburg, ID 83440-1025
Phone (208) 716-3659

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1629894423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1025",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401025",
            "telephone_number": "208-716-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 TREJO ST STE 200I",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405408",
            "telephone_number": "208-716-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGE WITH LOVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "DUMMAR",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-716-3659"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rexburg, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.