NPI age
— years
Enumerated 2025-07-30
● Active
Type 1 · Individual
Cole Shane Odom
Odom is 1 of 4 residential treatment facility, intellectual and/or developmental disabilities providers in Nampa and 1 of 27 in Idaho.
Primary specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Plus 1 subspecialty
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2025-07-30
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 27 active residential treatment facility, intellectual and/or developmental disabilities providers in Idaho.
NPI age
0 years
↓ 3 yr below median (3 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 22% of peers with subspecialties
NPI lifetime · 2025 → 2026
2025-07Enumerated in NPPES
2025
2026
Where they practice
Practice location
3420 S. Fork Ave
Nampa, ID 83686
Mailing address
3420 S Fork Ave
Nampa, ID 836864856
Specialties
-
Residential Treatment Facility, Intellectual and/or Developmental Disabilities PrimaryA residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
-
Private VehicleAn individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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