NORTHWEST CHILDREN'S HOME – NPI #1245368224
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

NORTHWEST CHILDREN'S HOME is a residential treatment facility located in LEWISTON, ID. NPPES has assigned the NPI number 1245368224 to NORTHWEST CHILDREN'S HOME on March 01, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. NORTHWEST CHILDREN'S HOME is also known by the name COMMUNITY BASED COUNSELING. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 6 years ago on Feb 06, 2020. 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 NORTHWEST CHILDREN'S HOME below.

NPI Profile for
NORTHWEST CHILDREN'S HOME

NPI Number
1245368224
Enumeration Date

(more than 19 years 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
NORTHWEST CHILDREN'S HOME
Other Name: COMMUNITY BASED COUNSELING
Other name(s)
All associated names:
Other Name
COMMUNITY BASED COUNSELING
Other Name
Residential Facility
Primary location
419 22ND AVE
LEWISTON, ID 83501-3812
Phone: (208) 743-9404 Fax:
1 Other location(s):
1111 S Orchard St
Suite 156
Boise, ID 83705-1966
Phone: (208) 336-2308
Fax: (208) 336-2309
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JENNY SKEELS
BUSINESS OFFICE MANGER
Phone: (208) 743-9404
Updated
Certification Date
Feb 06, 2020

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.

Identifiers

Identifiers for NORTHWEST CHILDREN'S HOME

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
MEDICAIDID002265000
MEDICAIDID807385500
MEDICAIDID804258900
MEDICAIDID807371000
MEDICAIDID807385700
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
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
101YM0800X
- Counselor / Mental Health
ID LCPC-2754

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.