Human Supports of Idaho

NPI #1700129491 in Caldwell, Idaho

Provider Information

NPI Number: 1700129491
Entity Type: Organization
Organization Name: Human Supports of Idaho
Primary Specialty: General Practice
Enumeration Date: Apr 1, 2013
Last Updated: Dec 23, 2025

Practice Location

Address: 206 E ELM ST
City: Caldwell
State: Idaho
ZIP Code: 83605-4815
Phone: (208) 454-8389

Authorized Official

Name: ALITA RUBY
Title: ADMINISTRATIVE SERVICE MANAGER
Phone: (208) 454-8389

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health	363LP0808X
Social Worker - Clinical — Clinical	1041C0700X
Physician Assistant	363A00000X
General Practice	208D00000X	Primary

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