P Praxis·MD
● Active Type 2 · Organization

Latino Stand Up Idaho Llc

Clinic/Center·Idaho Falls, ID· NPI 1043556608 · Enumerated 2012 · 13 years on NPI
Latino Stand Up Idaho Llc is 1 of 326 clinic/center organizations in Idaho.
NPI age
13 years
Enumerated 2012-12-28
Primary specialty
Clinic/Center
Plus 7 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Horne
Owner
Last NPPES update
2013-05-23
Source: monthly bulk 2026-05

How this organization compares

Across 326 active clinic/center providers in Idaho.

NPI age
13 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
7
In the 19% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-12Enumerated in NPPES
2012 2026

Where they practice

Primary practice location
1680 Woodruff Park
Idaho Falls, ID 834013330
📞 2085526373fax 2085522188
Mailing address
1680 Woodruff Park
Idaho Falls, ID 834013330
📞 2085526373fax 2085522188

Authorized official

Roger Horne
Owner
📞 9105730861

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QM0801X
  • Case Management
    An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management...
    taxonomy 251B00000X
  • Clinic/Center
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
    taxonomy 261QM0850X
  • Clinic/Center
    Definition to come...
    taxonomy 261QR0405X
  • Clinical Nurse Specialist
    A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one...
    taxonomy 364S00000X
  • Community/Behavioral Health
    A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
    taxonomy 251S00000X
  • Physician Assistant
    Definition to come...
    taxonomy 363AM0700X
  • Psychiatry & Neurology
    Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
    taxonomy 2084P0804X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Latino Stand Up
    Type code 3 recorded 2013-05-23

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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