OrganizationActive
Idaho Falls Group Homes
NPI 1235333576 · Intellectual Disabilities Intermediate Care Facility · Ammon, ID
Provider details
- NPI number
- 1235333576
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Rex Redden, Administrator(208) 523-0053
- License
- 29 (ID)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
4360 Wanda St
Ammon, ID 83406-6878
Phone: (208) 522-4614
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 50457
Idaho Falls, ID 83405-0457
Registry dates
- Enumerated
- 2007-06-12
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.