OrganizationActive
Southeastern Idaho Developmental Center, Inc.
NPI 1629124987 · Developmentally Disabled Services Day Training Agency · Blackfoot, ID
Provider details
- NPI number
- 1629124987
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jim Mccoy, Owner Director(208) 782-1301
- License
- 6SOEAST035 (ID)
Specialties & taxonomies
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
765 W Judicial St
Blackfoot, ID 83221-2036
Phone: (208) 782-1301
Fax: (208) 782-3627
Street-level locationGet directions
Mailing address
Po Box 701
Blackfoot, ID 83221-0701
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2008-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.