Healthcare Provider Details

I. General information

NPI: 1720991466
Provider Name (Legal Business Name): HINGE POINT YOUTH HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4414 DEER AVE
CHUBBUCK ID
83202-2668
US

IV. Provider business mailing address

2184 CHANNING WAY # 422
IDAHO FALLS ID
83404-8034
US

V. Phone/Fax

Practice location:
  • Phone: 208-821-7410
  • Fax:
Mailing address:
  • Phone: 208-821-7410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: CRAIG BRYCE ANDERSON
Title or Position: CHIEF ADMINISTRATOR
Credential: LCSW
Phone: 208-821-7410