Active NPI
Anchor Path Support Services LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Eagle, ID
National Provider Identifier
1992658959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- ANCHOR PATH SUPPORT SERVICES LLC
- Practice address
- 591 N Creekwater Ave
Eagle, ID 83616-4019 - Phone
- (208) 948-3407
- NPI assigned
- Feb 18, 2026
- Last updated
- Feb 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Josue Butinda
- Title
- Managing Member
- Phone
- (208) 948-3407
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NU | Primary |
Addresses
Primary practice location
591 N Creekwater Ave
Eagle, ID 83616-4019
Mailing address
591 N Creekwater Ave
Eagle, ID 83616-4019
Phone (208) 948-3407
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771372800000",
"number": "1992658959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "591 N CREEKWATER AVE",
"city": "EAGLE",
"state": "ID",
"postal_code": "836164019",
"telephone_number": "208-948-3407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "591 N CREEKWATER AVE",
"city": "EAGLE",
"state": "ID",
"postal_code": "836164019",
"telephone_number": "208-948-3407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANCHOR PATH SUPPORT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-18",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A",
"authorized_official_last_name": "BUTINDA",
"authorized_official_first_name": "JOSUE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "208-948-3407"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.