NPI age
13 years
Enumerated 2013-04-01
● Active Type 2 · Organization
Human Supports Of Idaho
Human Supports Of Idaho is 1 of 75 general practice organizations in Idaho.
Primary specialty
General Practice
Plus 4 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Ruby
Administrative Service Manager
Last NPPES update
2025-12-23
Source: monthly bulk 2026-05
How this organization compares
Across 75 active general practice providers in Idaho.
NPI age
13 years
≈ at median (13 yr)
Practice locations
2
1 secondary on file
Subspecialties
4
In the 22% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-04Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
206 E Elm St
Caldwell, ID 836054815
Mailing address
4477 W Emerald St Ste C100
Boise, ID 837062058
Additional practice locations
1 secondary location on file with NPPES.
Location 2
4477 W Emerald St Ste C100
Boise, ID 837062058
Authorized official
Alita Ruby
Administrative Service Manager
📞 2084548389
Individual providers at this organization
13 individual providers on file at this primary practice address.
- Hodaka Abe, PA Physician Assistant NPI 1013299866
- Matt Bannister Social Worker NPI 1457219842
- Branden Florence, PA-C Physician Assistant NPI 1730564923
- Robert Hansen, MD Orthopaedic Surgery NPI 1285623702
- Craig Jamison, PAC Orthopaedic Surgery NPI 1447248141
- Brian Lee, DPT, OCS Physical Therapist NPI 1043365323
- George Nicola, MD Orthopaedic Surgery NPI 1427047117
- Todd Otstot, PA-C Physician Assistant NPI 1275523276
- Charles Schneider, MD Orthopaedic Surgery NPI 1538158225
- Sandra Schnell, PT Physical Therapist NPI 1194870527
- Trevor Spence, NP-C Nurse Practitioner NPI 1669063384
- Thomas Tryon, PA Physician Assistant NPI 1205885092
- Bryce Wikfors, PA-C Physician Assistant NPI 1588915292
Specialties
-
General Practice PrimaryA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
-
Nurse PractitionerDefinition to come...
-
Physician AssistantA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
-
Psychiatry & NeurologyA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
-
Social WorkerA social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 20002419 | MEDICARE PTAN |
Practice context
Multi-provider organization. 13 individual providers on file at this primary address. Plus 1 secondary practice location.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.