Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Latino Stand Up Idaho LLC

Organization Registered Nurse · NPI 1649539495

Latino Stand Up Idaho LLC provides Registered Nurse services in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012
Specialties on file
9
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1680 Woodruff Park Ste A
Idaho Falls, ID 83401-3330 Not confirmed with CMS for 13 years — call before visiting
Phone: (208) 346-2222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Registered Nurse Taxonomy 163W00000X (ID)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X (ID)
Case Management Agency Taxonomy 251B00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Medical Physician Assistant Taxonomy 363AM0700X (ID)

Record details

NPI number1649539495
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Horne — Owner · (208) 346-2222
Other names Latino Stand Up Llc
NPI enumeratedMay 15, 2012
Last updated in NPPESMay 20, 2013
Mailing address1680 Woodruff Park, Suite A, Idaho Falls, ID 83401-3330

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