OrganizationActive
Ahs of Idaho
NPI 1619119864 · Emotionally Disturbed Childrens' Residential Treatment Facility · Shoshone, ID
Provider details
- NPI number
- 1619119864
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kathy Rex, Executive Director(208) 886-2565
- License
- 25860 (ID)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(85/100 index)
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
911 Preacher Creek Rd
Shoshone, ID 83352-5061
Phone: (208) 886-2565
Fax: (208) 886-2153
Street-level locationGet directions
Mailing address
911 Preacher Creek Rd
Shoshone, ID 83352-5061
Other names (DBA / former)
- Doing business as
- Suws Adolescent & Youth Programs
Registry dates
- Enumerated
- 2009-04-02
- Last updated
- 2009-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.