Active NPI
Helping Hands Sanctuary of Idaho
- Psychiatric Hospital
- Kimberly, ID
National Provider Identifier
1710072046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- 63
- Legal business name
- HELPING HANDS SANCTUARY OF IDAHO
- Practice address
- 500 Polk St E
Kimberly, ID 83341 - Phone
- (208) 423-5591
- Fax
- (208) 423-5651
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Angela Dawn Pasquale
- Title
- Office Manager
- Phone
- (208) 423-5591
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | 63 | ID | Primary |
Addresses
Primary practice location
500 Polk St E
Kimberly, ID 83341
Mailing address
500 Polk St E
Kimberly, ID 83341
Phone (208) 423-5591
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 808526400 | Medicaid | ID |
Other names 1
- Mt. View Center for Geriatric Psychiatry
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Skilled Nursing Facility
- Gooding, ID
- NPI 1720258668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289865600000",
"number": "1710072046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 POLK ST E",
"city": "KIMBERLY",
"state": "ID",
"postal_code": "83341",
"telephone_number": "208-423-5591",
"fax_number": "208-423-5651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 POLK ST E",
"city": "KIMBERLY",
"state": "ID",
"postal_code": "83341",
"telephone_number": "208-423-5591",
"fax_number": "208-423-5651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HELPING HANDS SANCTUARY OF IDAHO",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2010-11-16",
"status": "A",
"authorized_official_last_name": "PASQUALE",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "DAWN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "208-423-5591",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "ID",
"license": "63",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "808526400",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mt. View Center for Geriatric Psychiatry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kimberly, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.