Provider Demographics
NPI:1538591086
Name:COMMUNITY PARTNERSHIPS OF IDAHO CARE PLUS, LLC
Entity type:Organization
Organization Name:COMMUNITY PARTNERSHIPS OF IDAHO CARE PLUS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEANNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:SMILEY
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:208-376-4999
Mailing Address - Street 1:3076 N FIVE MILE RD
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713-5215
Mailing Address - Country:US
Mailing Address - Phone:208-376-4999
Mailing Address - Fax:208-376-4988
Practice Address - Street 1:3076 N FIVE MILE RD
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-5215
Practice Address - Country:US
Practice Address - Phone:208-376-4999
Practice Address - Fax:208-376-4988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management