GEM STATE DEVELOPMENTAL CENTER LLC NPI 1760523062

NPI Information

  • NPI: 1760523062
  • Provider Name: GEM STATE DEVELOPMENTAL CENTER LLC
  • Classification: Day Training, Developmentally Disabled Services - 251C00000X
  • Entity Type: Organization
  • Doing Business As: SYRINGA SOCIAL SERVICES
  • Address: 818 NW 15TH ST
    MERIDIAN, ID
    ZIP 83642
  • Phone: (208) 888-5566

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NPI Details

GEM STATE DEVELOPMENTAL CENTER LLC is a day training developmentally disabled services in Meridian, 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. GEM STATE DEVELOPMENTAL CENTER LLC NPI is 1760523062. The provider is registered as an organization entity type.
The provider Is Doing Business As Syringa Social Services.

The provider's business location address is:

818 NW 15TH ST
MERIDIAN, ID
ZIP 83642-724
Phone: (208) 888-5566
Fax: (208) 888-5578

The provider's authorized official is Lori Jo Poole .
The authorized official title is Ceo and has the following contact phone number (208) 888-5565.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 10/22/2019.

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
1251C00000XDay Training, Developmentally Disabled Services3GEM043IDAHONo
2251C00000XDay Training, Developmentally Disabled Services4GEM014IDAHOYes

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
1806782800MEDICAIDIDAHO
2806276000MEDICAIDIDAHO
3002571100MEDICAIDIDAHO
4002570900MEDICAIDIDAHO

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: 3/30/2025

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