Ambitions of Idaho Inc
Organization Active NPI Developmentally Disabled Services Day Training Agency · Coeur D Alene, ID
NPI 1730615972 · NPPES record last updated May 9, 2017
Key facts
- NPI
- 1730615972
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- License
- DDA-5359 (ID)
- Legal business name
- AMBITIONS OF IDAHO INC
- Practice address
- 1044 Northwest Blvd Ste F
Coeur D Alene, ID 83814-2165 - Phone
- (208) 676-9385
- NPI assigned
- May 9, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- AMBITIONS INC
Authorized official
- Name
- Shane Hagel
- Title
- President
- Phone
- (208) 676-9385
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Ambitions of Idaho Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | DDA-5359 | ID | Yes |
Addresses
Primary practice location
1044 Northwest Blvd Ste F
Coeur D Alene, ID 83814-2165
Mailing address
1044 Northwest Blvd Ste F
Coeur D Alene, ID 83814-2165
Phone (208) 676-9385
Other providers in Coeur D Alene, ID
- Alternative Community Enrichment Services, Inc.
- Alternative Community Enrichment Services, Inc.
- Melissa Alton
- Susan Marie Amaral
- Amaris Behavioral Health LLC
- Ambitions of Idaho Inc
- Ambitions of Idaho, Inc
- Ambitions of Idaho, Inc.
- Frederick P Ambrose
- Amanda Ament
All providers in Coeur D Alene, ID · Developmentally Disabled Services Day Training Agency in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.