INTRINSIC HOLDINGS CORP NPI 1477016947

NPI Information

NPI: 1477016947
Provider Name: INTRINSIC HOLDINGS CORP
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
9006 E CEDAR POINT LN
IDAHO FALLS, ID
ZIP 83401
Phone: (208) 716-3259
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INTRINSIC HOLDINGS CORP is a community based residential treatment facility, intellectual and/or developmental disabilities in Idaho Falls, ID. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. INTRINSIC HOLDINGS CORP NPI is 1477016947. The provider is registered as an organization entity type.

The provider's business location address is:

9006 E CEDAR POINT LN
IDAHO FALLS, ID
ZIP 83401-834
Phone: (208) 716-3259

The provider's authorized official is Shawn Johansson .
The authorized official title is Director and has the following contact phone number (208) 716-3259.

The enumeration date for this NPI number is 4/10/2019 and was last updated on 4/10/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

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

NPI Synchronization or Removal

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