OrganizationActive
Innovative Health Care Concepts, Inc
NPI 1598975658 · Developmental Disabilities Clinic/Center · Idaho Falls, ID
Provider details
- NPI number
- 1598975658
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lonna Smith, Administrator(208) 529-8526
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Day Care Clinic/Center261QA0600X
Ambulatory Health Care Facilities
Practice location
1545 S Boulevard
Idaho Falls, ID 83404-5926
Phone: (208) 552-1016
Fax: (208) 552-1812
Approximate (ZIP-level) locationGet directions
Mailing address
790 S Holmes Ave
Idaho Falls, ID 83401-4749
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2025-05-14
- Certified
- 2025-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.