OrganizationActive
Idaho Dept of Health & Welfare Itp Region 4
NPI 1568502409 · Early Intervention Provider Agency · Boise, ID
Provider details
- NPI number
- 1568502409
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mary Jones, Program Manager(208) 334-5523
Specialties & taxonomies
Agencies
- Local Education Agency (LEA)251300000X
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1720 Westgate Dr
Suite B-2
Boise, ID 83704-7164
Phone: (208) 334-0900
Fax: (208) 334-0926
Street-level locationGet directions
Mailing address
1720 Westgate Dr
Boise, ID 83704-7164
Registry dates
- Enumerated
- 2007-02-08
- Last updated
- 2013-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.