OrganizationActive
Supportive Housing and Innovative Partnerships
NPI 1336901560 · Community/Behavioral Health Agency · Garden City, ID
Provider details
- NPI number
- 1336901560
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kenneth Widick, Executive Director(208) 412-8338
Specialties & taxonomies
Agencies
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
8 documented practice locations
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
305 E 37th St
Garden City, ID 83714-6419
Phone: (208) 331-0900
Fax: (208) 331-0904
Street-level locationGet directions
Mailing address
Po Box 8803
Boise, ID 83707-2803
Additional practice locations (7)
- 700 S Jolinda AveBoise, ID 83709-1737Phone: (208) 331-0900Fax: (208) 331-0904
- 2720 N Reno WayBoise, ID 83704-5815Phone: (208) 331-0900Fax: (208) 331-0904
- 1050 N Clover DrBoise, ID 83703-5714Phone: (208) 331-0900Fax: (208) 331-0904
- 2054 S Shoshone StBoise, ID 83705-3441Phone: (208) 331-0900Fax: (208) 331-0904
- 5454 N Mitchell StBoise, ID 83704-2250Phone: (208) 331-0900Fax: (208) 331-0904
- 1286 N Aster PlBoise, ID 83704-8021Phone: (208) 331-0900Fax: (208) 331-0900
- 1704 Dearborn StCaldwell, ID 83605-5039Phone: (208) 331-0900Fax: (208) 331-0904
Registry dates
- Enumerated
- 2024-01-24
- Last updated
- 2024-01-24
- Certified
- 2024-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.