NPI age
13 years
Enumerated 2012-10-17
● Active Type 2 · Organization
State Of Idaho
State Of Idaho is 1 of 58 intermediate care facility, intellectual disabilities organizations in Idaho.
Primary specialty
Intermediate Care Facility, Intellectual Disabilities
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Broetje
Administrator
Last NPPES update
2012-10-17
Source: monthly bulk 2026-05
How this organization compares
Across 58 active intermediate care facility, intellectual disabilities providers in Idaho.
NPI age
13 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-10Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
1182 West Kyler Ave
Hayden, ID 83835
Mailing address
1660 11th Ave N
Nampa, ID 836875000
Authorized official
Susan Broetje
Administrator
📞 2086970625
Specialties
-
Intermediate Care Facility, Intellectual Disabilities PrimaryAn intermediate care facility providing services for individuals with intellectual disabilities.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
SWITC-Kyler House
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 →
- 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.