NPI age
19 years
Enumerated 2007-02-09
● Active Type 2 · Organization
Gem State Developmental Center Llc
Gem State Developmental Center Llc is 1 of 141 day training, developmentally disabled services organizations in Idaho.
Primary specialty
Day Training, Developmentally Disabled Services
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Poole
Ceo
Last NPPES update
2019-10-22
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 · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
818 Nw 15th St
Meridian, ID 836423724
Mailing address
818 Nw 15th St
Meridian, ID 836423724
Authorized official
Lori Jo Poole, LCSW
Ceo
📞 2088885565
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Lori Poole, LCSW Social Worker NPI 1962762534
Specialties
-
Day Training, Developmentally Disabled Services PrimaryThese 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 806276000 | |
| 05 (ID) | 002571100 | |
| 05 (ID) | 806782800 | |
| 05 (ID) | 002570900 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Syringa Social Services
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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