SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.
NPI 1629124987
Day Training, Developmentally Disabled Services in Blackfoot, ID

NPI Status: Active since January 26, 2007

Contact Information

765 W JUDICIAL ST
BLACKFOOT, ID
ZIP 83221
Phone: (208) 782-1301
Fax: (208) 782-3627

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About SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.

This page provides the complete NPI Profile along with additional information for Southeastern Idaho Developmental Center, Inc., a provider established in Blackfoot, Idaho operating as a Day Training, Developmentally Disabled Services. The healthcare provider is registered in the NPI registry with number 1629124987 assigned on January 2007. The practitioner's primary taxonomy code is 251C00000X with license number 6SOEAST035 (ID). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Jim P. Mccoy (Owner Director)

NPI
1629124987
Provider Name
SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.
Entity Type
Organization
Location Address
765 W JUDICIAL ST BLACKFOOT, ID 83221
Location Phone
(208) 782-1301
Location Fax
(208) 782-3627
Mailing Address
PO BOX 701 BLACKFOOT, ID 83221
Mailing Phone
(208) 782-1301
Mailing Fax
(208) 782-3627
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-26-2007
Last Update Date
03-20-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Day Training, Developmentally Disabled Services

Taxonomy Code
251C00000X
Type
Agencies
License No.
6SOEAST035
License State
ID
Taxonomy Description
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 individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JIM P. MCCOY

Authorized Official Title
OWNER DIRECTOR
Authorized Official Phone
(208) 782-1301

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629124987
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2649228916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 2 + 2 + 8 + 9 + 1 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1629124987 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780879700SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.
Organization
Community/Behavioral Health765 W JUDICIAL ST
BLACKFOOT, ID 83221
(208) 782-1301
1568636959SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC .
Organization
Case Management765 W JUDICIAL ST
BLACKFOOT, ID 83221
(208) 782-1301
1558535948SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.
Organization
Case Management765 W JUDICIAL ST
BLACKFOOT, ID 83221
(208) 782-1301
1235264318SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.
Organization
Case Management765 W JUDICIAL ST
BLACKFOOT, ID 83221
(208) 782-1301
1568597078SOUTHEASTERN IDAHO DEVELOPMENTAL CENTER, INC.
Organization
Case Management765 W JUDICIAL ST
BLACKFOOT, ID 83221
(208) 782-1301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629124987, enumerated in the NPI registry as an "organization" on January 26, 2007

The provider is located at 765 W Judicial St Blackfoot, Id 83221 and the phone number is (208) 782-1301

This medical organization specializes in Day Training, Developmentally Disabled Services with taxonomy code 251C00000X

This NPI record was last updated on January 26, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.