Healthcare Provider Details

I. General information

NPI: 1558106344
Provider Name (Legal Business Name): HINGE POINT YOUTH HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2024
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1449 PARAMOUNT ST
POCATELLO ID
83201-3019
US

IV. Provider business mailing address

4043 E 530 N
RIGBY ID
83442-4948
US

V. Phone/Fax

Practice location:
  • Phone: 208-270-1309
  • Fax: 208-684-7823
Mailing address:
  • Phone: 208-270-1309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: CRAIG ANDERSON
Title or Position: OWNER
Credential:
Phone: 208-821-7410