Grand Teton Service Group
NPI 1356577019 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Idaho Falls, ID
Grand Teton Service Group is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Idaho Falls, ID (NPI 1356577019).
Provider details
- NPI number
- 1356577019
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Lisa Bowman, Program Director(208) 528-7443
- License
- RHA-313 (ID)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense RHA-313 (ID)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Registry dates
- Enumerated
- 2009-06-08
- Last updated
- 2009-06-08
Frequently asked questions
- What is Grand Teton Service Group's NPI number?
- Grand Teton Service Group's National Provider Identifier (NPI) is 1356577019, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Teton Service Group?
- Grand Teton Service Group is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Grand Teton Service Group located?
- Grand Teton Service Group's practice location on file with NPPES is 329 Park Ave, Idaho Falls, ID 83402-3610.
- What is Grand Teton Service Group's phone number?
- The practice phone number listed in the NPPES registry for Grand Teton Service Group is (208) 528-7443.
- Who is the authorized official for Grand Teton Service Group?
- The authorized official listed on Grand Teton Service Group's NPPES record is Lisa Bowman, Program Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Teton Service Group's NPI active?
- Yes — Grand Teton Service Group's NPI (1356577019) is active in the NPPES registry as of the last update on 2009-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.