Active NPI
Eiyh Behavioral Health LLC
- Community/Behavioral Health Agency
- Ammon, ID
National Provider Identifier
1730880964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
- Mental Health Counselor
- Idaho Falls, ID
- NPI 1306543228
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.