OrganizationActive
Phoenix Management LLC
NPI 1154714897 · Developmentally Disabled Services Day Training Agency · Chubbuck, ID
Provider details
- NPI number
- 1154714897
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Merinda Halladay, Owner/Administrator(208) 317-3625
Specialties & taxonomies
Agencies
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10991 Deerridge Dr.
Chubbuck, ID 83202
Phone: (208) 317-3625
Street-level locationGet directions
Mailing address
10991 Deerridge Dr.
Chubbuck, ID 83202
Registry dates
- Enumerated
- 2015-03-05
- Last updated
- 2015-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.