Organization Active NPI

Social Advocates

  • Case Management Agency
  • Coeur D Alene, ID
National Provider Identifier
1730216631
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SOCIAL ADVOCATES
Practice address
1816 W Windsor Ave
Coeur D Alene, ID 83815-9484
Phone
(208) 667-2028
Fax
(208) 665-7131
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Barbara Jo Bethke, B.S.
Title
Administator
Phone
(208) 667-2028

Specialties & licenses 1

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

Addresses

Primary practice location

1816 W Windsor Ave
Coeur D Alene, ID 83815-9484

Mailing address

1816 W Windsor Ave
Coeur D Alene, ID 83815-9484
Phone (208) 667-2028

Other identifiers 2

IdentifierTypeStateIssuer
806313100MedicaidID
806313000MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
Social Advocates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1730216631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 W WINDSOR AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159484",
            "telephone_number": "208-667-2028",
            "fax_number": "208-665-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 W WINDSOR AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159484",
            "telephone_number": "208-667-2028",
            "fax_number": "208-665-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL ADVOCATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "BETHKE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "ADMINISTATOR",
        "authorized_official_telephone_number": "208-667-2028",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806313100",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806313000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.