P Praxis·MD
● Active Type 1 · Individual

Evan White

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·Emmett, ID· NPI 1043038268 · Enumerated 2024 · 1 years on NPI
White is 1 of 1 community based residential treatment facility, intellectual and/or developmental disabilities providers in Emmett and 1 of 27 in Idaho.
NPI age
1 years
Enumerated 2024-09-27
Primary specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2024-09-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 27 active community based residential treatment facility, intellectual and/or developmental disabilities providers in Idaho.

NPI age
1 years
↓ 7 yr below median (8 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-09Enumerated in NPPES
2024 2026

Where they practice

Practice location
9825 Mayberry Ln
Emmett, ID 836173051
📞 2087131290
Mailing address
9825 Mayberry Ln
Emmett, ID 836173051
📞 2087131290

Specialties

  • Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary
    A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
    taxonomy 320900000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Provyx · Custom healthcare lists

Need all 27 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related