Provider Type Icon

CANYON CREEK DEVELOPMENTAL SERVICES NPI 1689718520


NPI Information

NPI: 1689718520
Provider Name: CANYON CREEK DEVELOPMENTAL SERVICES
Classification: Local Education Agency (LEA) - 251300000X
Entity Type: Organization
Address:
5214 CLEVELAND BLVD STE G
CALDWELL, ID
ZIP 83607
Phone: (208) 454-6266
Get Directions

CANYON CREEK DEVELOPMENTAL SERVICES is a local education agency lea in Caldwell, ID. The provider is the term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. CANYON CREEK DEVELOPMENTAL SERVICES NPI is 1689718520. The provider is registered as an organization entity type.

The provider's business location address is:

5214 CLEVELAND BLVD STE G
CALDWELL, ID
ZIP 83607-713
Phone: (208) 454-6266
Fax: (208) 454-6431

The provider's authorized official is Beth A Moody .
The authorized official title is Cfo and has the following contact phone number (208) 454-6266.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251300000XLocal Education Agency (LEA)3CANCRK123IDAHOYes

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.