SUWS ADOLESCENT & YOUTH PROGRAMS – NPI #1619119864
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.

SUWS ADOLESCENT & YOUTH PROGRAMS is a residential treatment facility located in SHOSHONE, ID. NPPES has assigned the NPI number 1619119864 to SUWS ADOLESCENT & YOUTH PROGRAMS on April 02, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SUWS ADOLESCENT & YOUTH PROGRAMS” is a dba name, the actual legal business name for this organization is AHS OF IDAHO. 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.

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 SUWS ADOLESCENT & YOUTH PROGRAMS below.

NPI Profile for
AHS OF IDAHO

NPI Number
1619119864
Enumeration Date

(more than 17 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
AHS OF IDAHO
Doing Business As (dba): SUWS ADOLESCENT & YOUTH PROGRAMS
Primary location
911 PREACHER CREEK RD
SHOSHONE, ID 83352-5061
Phone: (208) 886-2565 Fax: (208) 886-2153
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KATHY REX
EXECUTIVE DIRECTOR
Phone: (208) 886-2565
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
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
ID 25860

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.