Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Latino Stand Up Idaho LLC

Organization Registered Nurse · NPI 1649539495

Latino Stand Up Idaho LLC is a Registered Nurse 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
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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