Provider Demographics
NPI:1124742184
Name:GUIDEPOST HOLDINGS LLC
Entity type:Organization
Organization Name:GUIDEPOST HOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:WHITAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-497-0900
Mailing Address - Street 1:PO BOX 1846
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83403-1846
Mailing Address - Country:US
Mailing Address - Phone:208-497-0900
Mailing Address - Fax:208-497-0912
Practice Address - Street 1:235 N 4200 E
Practice Address - Street 2:
Practice Address - City:RIGBY
Practice Address - State:ID
Practice Address - Zip Code:83442-5977
Practice Address - Country:US
Practice Address - Phone:208-497-0900
Practice Address - Fax:208-497-0912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities