NORTHWEST CHILDREN'S HOME NPI 1245368224

NPI Information

NPI: 1245368224
Provider Name: NORTHWEST CHILDREN'S HOME
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Other Name: COMMUNITY BASED COUNSELING
Address: 419 22ND AVE
LEWISTON, ID
ZIP 83501
Phone: (208) 743-9404

Map and Directions

Get Directions

NPI Details

NORTHWEST CHILDREN'S HOME is a residential treatment facility emotionally disturbed children in Lewiston, ID. The provider is 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 NPI is 1245368224. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Community Based Counseling.

The provider's business location address is:

419 22ND AVE
LEWISTON, ID
ZIP 83501-812
Phone: (208) 743-9404

The provider's authorized official is Jenny Skeels .
The authorized official title is Business Office Manger and has the following contact phone number (208) 743-9404.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 2/6/2020.

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	101YM0800X	Counselor	Mental Health	LCPC-2754	IDAHO	No
2	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	804258900	MEDICAID	IDAHO
2	807371000	MEDICAID	IDAHO
3	807385500	MEDICAID	IDAHO
4	002265000	MEDICAID	IDAHO
5	807385700	MEDICAID	IDAHO

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI

Next NPI