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General NPI Number Information
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NPI Number | 1720991466
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Entity Type | Organization
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Legal Business Name | HINGE POINT YOUTH HOMES LLC
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 4414 DEER AVE
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City | CHUBBUCK
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State | ID
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Zip | 83202-2668
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Country | US
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Telephone | 208-821-7410
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Fax |
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Provider Business Mailing Address
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Address Line | 2184 CHANNING WAY # 422
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City | IDAHO FALLS
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State | ID
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Zip | 83404-8034
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Country | US
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Telephone | 208-821-7410
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Fax |
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Authorized Official
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Title or Position | CHIEF ADMINISTRATOR
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Name | CRAIG BRYCE ANDERSON
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Credential | LCSW
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Telephone | 208-821-7410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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