OrganizationActive
Empowering Human Services, LLC.
NPI 1144096850 · Physical Disabilities Residential Treatment Facility · Idaho Falls, ID
Provider details
- NPI number
- 1144096850
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Christopher Virgin, Founder(435) 554-8474
Specialties & taxonomies
Residential Treatment Facilities
Practice location
250 S Skyline Dr Ste 3
Idaho Falls, ID 83402-3294
Phone: (208) 537-1463
Fax: (208) 534-9225
Approximate (ZIP-level) locationGet directions
Mailing address
250 S Skyline Dr Ste 3
Idaho Falls, ID 83402-3294
Additional practice locations (1)
- 255 B St Ste 205Idaho Falls, ID 83402-3572Phone: (208) 537-1463Fax: (208) 534-9225
Registry dates
- Enumerated
- 2023-12-04
- Last updated
- 2025-04-18
- Certified
- 2025-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.