P Praxis·MD
● Active Type 2 · Organization

Canyon Creek Developmental Services

Day Training, Developmentally Disabled Services·Caldwell, ID· NPI 1477617165 · Enumerated 2006 · 19 years on NPI
Canyon Creek Developmental Services is 1 of 141 day training, developmentally disabled services organizations in Idaho.
NPI age
19 years
Enumerated 2006-12-20
Primary specialty
Day Training, Developmentally Disabled Services
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moody
Cfo
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 141 active day training, developmentally disabled services providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
5214 Cleveland Blvd Ste G
Caldwell, ID 836078713
📞 2084546266fax 2084546263
Mailing address
5214 Cleveland Blvd Ste G
Caldwell, ID 836078713
📞 2084546266fax 2084546263

Authorized official

Beth A Moody
Cfo
📞 2084546266

Specialties

  • Day Training, Developmentally Disabled Services Primary
    These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills...
    ID license #3CANCRK123 taxonomy 251C00000X

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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