NPI age
17 years
Enumerated 2008-06-18
● Active Type 2 · Organization
Grand Teton Service Group
Grand Teton Service Group is 1 of 27 community based residential treatment facility, intellectual and/or developmental disabilities organizations in Idaho.
Primary specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bowman
Program Director
Last NPPES update
2008-06-18
Source: monthly bulk 2026-05
How this organization compares
Across 27 active community based residential treatment facility, intellectual and/or developmental disabilities providers in Idaho.
NPI age
17 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
329 Park Ave
Idaho Falls, ID 834023610
Mailing address
Po Box 50457
Idaho Falls, ID 834050457
Authorized official
Lisa Bowman, BA
Program Director
📞 2085287443
Specialties
-
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities PrimaryA home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.