Grow Developmental Disability Solutions Idaho

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GROW DEVELOPMENTAL DISABILITY SOLUTIONS IDAHO

Practice address

205 Stockham Blvd Ste D
Rigby, ID 83442-5285

Phone

(503) 882-2525

NPI assigned

Dec 19, 2024

Last updated

Dec 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Liberty Wecker

Title

Owner

Phone

(503) 882-2525

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1730997958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 STOCKHAM BLVD STE D",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425285",
            "telephone_number": "503-882-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 STOCKHAM BLVD STE D",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425285",
            "telephone_number": "503-882-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW DEVELOPMENTAL DISABILITY SOLUTIONS IDAHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "WECKER",
        "authorized_official_first_name": "LIBERTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-882-2525"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Rigby, ID
• Providers in Rigby, ID by specialty
• In Home Supportive Care Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.