EAST IDAHO RESIDENTIAL HABILITATION LLC – NPI #1376340893
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

EAST IDAHO RESIDENTIAL HABILITATION LLC is a residential treatment facility located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1376340893 to EAST IDAHO RESIDENTIAL HABILITATION LLC on March 03, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

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 EAST IDAHO RESIDENTIAL HABILITATION LLC below.

NPI Profile for
EAST IDAHO RESIDENTIAL HABILITATION LLC

NPI Number
1376340893
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EAST IDAHO RESIDENTIAL HABILITATION LLC
Primary location
550 LINDEN DR
IDAHO FALLS, ID 83401-4149
Phone: (208) 360-8102 Fax:
2 Other location(s):
1061 Curlew Dr
Ammon, ID 83406-4766
Phone: (208) 821-6360
1098 Diamond Dr
Ammon, ID 83406-4928
Phone: (208) 821-6360
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KAREN TORNKVIST
OWNER
Phone: (208) 360-8102
Updated
Certification Date
Mar 02, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (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.