RIVERSIDE SERVICE GROUP INC NPI 1346390796

NPI Information

  • NPI: 1346390796
  • Provider Name: RIVERSIDE SERVICE GROUP INC
  • Classification: Day Training, Developmentally Disabled Services - 251C00000X
  • Entity Type: Organization
  • Address: 461 RIVER PKWY
    IDAHO FALLS, ID
    ZIP 83402
  • Phone: (208) 542-4517

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NPI Details

RIVERSIDE SERVICE GROUP INC is a day training developmentally disabled services in Idaho Falls, ID. The provider is 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. RIVERSIDE SERVICE GROUP INC NPI is 1346390796. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

461 RIVER PKWY
IDAHO FALLS, ID
ZIP 83402-314
Phone: (208) 542-4517
Fax: (208) 528-9501

The provider's authorized official is Kathleen Ann Hansen .
The authorized official title is President Ceo and has the following contact phone number (208) 521-6573.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 6/25/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care Coordinator807612600IDAHONo
2251C00000XDay Training, Developmentally Disabled Services805608500IDAHOYes

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 Other Provider Identifier Issuer
1807612600MEDICAIDIDAHO
2805608500MEDICAIDIDAHO

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

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