Syringa Social Services
LBN: Gem State Developmental Center Llc
Syringa Social Services is an health care organization with primary practice located at 818 Nw 15Th St , Meridian ID 83642-3724. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty.
Gem State Developmental Center Llc can be contacted via phone (208) 888-5566, or through Poole, Lori Jo via phone (208) 888-5565.
Contact Information
Primary practice address
818 Nw 15Th St
Meridian ID 83642-3724
Phone: (208) 888-5566
Fax: (208) 888-5578
Website:
Authorized official contact:
Name: Poole, Lori Jo Licensed Clinical Social Worker (LCSW)
Phone: (208) 888-5565
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | 4GEM014 | Idaho |
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | 3GEM043 | Idaho |
Profile Details
| NPI number | 1760523062 |
|---|---|
| LBN Legal business name | Gem State Developmental Center Llc |
| DBA Doing business as | Syringa Social Services |
| Authorized official | Poole, Lori Jo Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Oct 22nd, 2019 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760523062 | NPPES |
| Idaho | MEDICAID | 806276000 | |
| Idaho | MEDICAID | 002571100 | |
| Idaho | MEDICAID | 806782800 | |
| Idaho | MEDICAID | 002570900 |
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