Canyon Creek Developmental Services in Caldwell - Day Training, Developmentally Disabled Services

Canyon Creek Developmental Services - NPI 1477617165

Canyon Creek Developmental Services is a Day Training, Developmentally Disabled Services in Caldwell, Idaho. Canyon Creek Developmental Services practices all healthcare services and medical treatments related to Day Training, Developmentally Disabled Services. The NPI Number for Canyon Creek Developmental Services is 1477617165. The last update date is 2020-08-22.

Canyon Creek Developmental Services's current location address is 5214 Cleveland Blvd Ste G, Caldwell, Idaho. You can contact this provider via phone number 2084546266 and fax number 2084546263. The mailing address for Canyon Creek Developmental Services is 5214 Cleveland Blvd Ste G, Caldwell, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Canyon Creek Developmental Services
Address 5214 Cleveland Blvd Ste G, Caldwell, Idaho
Phone Number 2084546266
Fax Number 2084546263
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CFO
Authorized Official Name Moody A Beth
Telephone Number 2084546266

NPI Number Detail

NPI Number 1477617165
Provider Enumeration Date 2006-12-20
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 5214 Cleveland Blvd Ste G
City Caldwell
State Idaho (ID)
Post Code 836078713
Phone Number 2084546266
Fax Number 2084546263

Provider's Primary Taxonomy Detail

Speciality Day Training, Developmentally Disabled Services
Taxonomy 251C00000X
Licence No 3CANCRK123
Definition:
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the

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FAQs about Canyon Creek Developmental Services

What is the unique 10-digit identification code assigned to Canyon Creek Developmental Services by the Centers for Medicare & Medicaid Services?

The Canyon Creek Developmental Services has been issued the NPI (National Provider Identifier) 1477617165, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Canyon Creek Developmental Services's facilities are situated?

The facilities of Canyon Creek Developmental Services are physically located at the following address: 5214 Cleveland Blvd Ste G, Caldwell, ID, 836078713.

What is Canyon Creek Developmental Services's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Canyon Creek Developmental Services is Day Training, Developmentally Disabled Services, and the taxonomy code that categorizes this field of expertise is 251C00000X.

On what date did Canyon Creek Developmental Services receive its 1477617165 assignment from the Centers for Medicare & Medicaid Services?

The Canyon Creek Developmental Services was assigned its 1477617165 on 2006-12-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Canyon Creek Developmental Services most recently updated or revised?

The information pertaining to Canyon Creek Developmental Services, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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