NPIMap

Organization Active NPI

Upper Valley Developmental Disabilities Services, Inc.

  • Day Training/Habilitation Specialist
  • Idaho Falls, ID
National Provider Identifier
1992544688
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Legal business name
UPPER VALLEY DEVELOPMENTAL DISABILITIES SERVICES, INC.
Practice address
1820 E 17TH Street
Suite 330
Idaho Falls, ID 83404
Phone
(208) 534-8303
NPI assigned
May 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Mr. Matthew F Smith
Title
Owner
Phone
(208) 534-8303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 373H00000X Primary

Addresses

Primary practice location

1820 E 17TH Street
Suite 330
Idaho Falls, ID 83404

Mailing address

3270 E 17TH St # 261
Ammon, ID 83406-6758
Phone (208) 534-8303

Other names 1

  • Upper Valley Developmental Disabilities Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1992544688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 E 17TH ST # 261",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066758",
            "telephone_number": "208-534-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 E 17TH STREET",
            "address_2": "SUITE 330",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-534-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER VALLEY DEVELOPMENTAL DISABILITIES SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-534-8303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upper Valley Developmental Disabilities Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.