Organization Active NPI

Maximum Security Inc

  • Case Management Agency
  • Pocatello, ID
National Provider Identifier
1689855173
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MAXIMUM SECURITY INC
Practice address
357 W Center St
Suite 212
Pocatello, ID 83204-3236
Phone
(208) 760-0407
Fax
(804) 915-9440
NPI assigned
Nov 26, 2007
Last updated
Jul 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Mrs. Jennifer Leavitt Jill Leavitt, LSW
Title
Vice President
Phone
(208) 760-0407

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Point of Service 305S00000X

Addresses

Primary practice location

357 W Center St
Suite 212
Pocatello, ID 83204-3236

Mailing address

357 W Center St
Suite 212
Pocatello, ID 83204-3236
Phone (208) 760-0407

Other names 1

  • Early learning solutions Other name

National Provider Directory

National Provider Directory

Locations

357 W Center St
Ste 212
Pocatello, ID 83204
Phone (208) 760-0407

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1689855173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 W CENTER ST",
            "address_2": "SUITE 212",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043236",
            "telephone_number": "208-760-0407",
            "fax_number": "804-915-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 W CENTER ST",
            "address_2": "SUITE 212",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043236",
            "telephone_number": "208-760-0407",
            "fax_number": "804-915-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM SECURITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "LEAVITT",
        "authorized_official_first_name": "JENNIFER LEAVITT",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "208-760-0407",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Early learning solutions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.