MEDICARE: OPTIONS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency	7OPTION039	ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841343274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIONS INC.

Provider Business Mailing Address
First Line	:	4322 E TRENTON CIR
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83401-3778
Country	:	US
Telephone Number	:	208-552-9500
Fax Number	:	208-552-9357

Provider Business Practice Location Address
First Line	:	220 ASH ST
Second Line	:
City	:	IDAHO FALLS
State	:	ID
Zip	:	83402-4041
Country	:	US
Telephone Number	:	208-552-9500
Fax Number	:	208-552-9357

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MR. LEE D BIRKINBINE
Credential	:
Telephone Number	:	208-552-9500

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	04/07/2009

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Directions to “OPTIONS INC. ” Practice Location

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