MIKE ANDERSON – NPI #1194033746
Respite Care

A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

MIKE ANDERSON is a respite care facility located in MERIDIAN, ID. NPPES has assigned the NPI number 1194033746 to MIKE ANDERSON on September 16, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 385HR2060X from the Health Care Provider Taxonomy code set, which is classified as Respite Care, specializing in Respite Care, Intellectual and/or Developmental Disabilities, Child

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MIKE ANDERSON below.

NPI Profile for
MIKE ANDERSON

NPI Number
1194033746
Enumeration Date

(more than 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MIKE ANDERSON
Primary location
618 NW 1ST ST
MERIDIAN, ID 83642-2505
Phone: (208) 407-2077 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
385HR2060X
- Respite Care / Respite Care, Intellectual and/or Developmental Disabilities, Child (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.