Healthcare Provider Details

I. General information

NPI: 1891996526
Provider Name (Legal Business Name): HELP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 06/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1465 HOOPES AVE
IDAHO FALLS ID
83406
US

IV. Provider business mailing address

1465 HOOPES AVE
IDAHO FALLS ID
83404
US

V. Phone/Fax

Practice location:
  • Phone: 208-522-5545
  • Fax: 208-528-6773
Mailing address:
  • Phone: 208-522-5545
  • Fax: 208-528-6773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLMSW-30182
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberN-32598
License Number StateID
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateID
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberN-34382
License Number StateID
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateID
# 7
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License NumberLMSW-30182
License Number StateID
# 8
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberLMSW-30182
License Number StateID
# 9
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License NumberLMSW-30182
License Number StateID
# 10
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP-386A
License Number StateID

VIII. Authorized Official

Name: BRIANNA KOSTER
Title or Position: SUPERVISOR
Credential: LSW
Phone: 208-522-5545