Organization Active NPI

Eiyh Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Ammon, ID
National Provider Identifier
1730880964
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EIYH BEHAVIORAL HEALTH LLC
Practice address
1061 Curlew Dr
Ammon, ID 83406-4766
Phone
(208) 360-8102
NPI assigned
Mar 14, 2023
Organization subpart
Yes
Parent organization
EAST IDAHO YOUTH HOMES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Karen Faye Tornkvist
Title
Chief Administrator
Phone
(208) 360-8102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1061 Curlew Dr
Ammon, ID 83406-4766

Mailing address

550 Linden Dr
Idaho Falls, ID 83401-4149
Phone (208) 360-8102

National Provider Directory

National Provider Directory
Part of
East Idaho Youth Homes LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1730880964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 LINDEN DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014149",
            "telephone_number": "208-360-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 CURLEW DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064766",
            "telephone_number": "208-360-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EIYH BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST IDAHO YOUTH HOMES LLC",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "TORNKVIST",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATOR",
        "authorized_official_telephone_number": "208-360-8102"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ammon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.