Provider Type Icon

MIKE ANDERSON NPI 1194033746


NPI Information

NPI: 1194033746
Provider Name: MIKE ANDERSON
Classification: Respite Care - 385HR2060X
Entity Type: Individual

Specialization: Respite Care, Intellectual and/or Developmental Disabilities

Address:
618 NW 1ST ST
MERIDIAN, ID
ZIP 83642
Phone: (208) 407-2077
Get Directions

Mike Anderson is a respite care and mental retardation and/or developmental disabilities respite care in Meridian, ID. The provider is 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 NPI is 1194033746. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

618 NW 1ST ST
MERIDIAN, ID
ZIP 83642-505
Phone: (208) 407-2077

The enumeration date for this NPI number is 9/16/2010 and was last updated on 9/16/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.