Gem State Developmental Center LLC
Gem State Developmental Center LLC is a healthcare organization registered as Developmentally Disabled Services Day Training Agency in Meridian, ID, holding Type 2 (organization) NPI 1760523062 since 2007. The authorized official on file is Lori Poole, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1760523062 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Gem State Developmental Center LLC |
| Other name | <Unavail> |
| Practice address | 818 NW 15TH ST, Meridian, ID, 83642 |
| Phone | 2088885566 |
| Fax | 2088885578 |
| Enumeration date | 2007-02-09 |
| Last updated in NPPES | 2019-10-22 |
Authorized official
| Name | Lori Poole |
|---|---|
| Title | Ceo |
| Phone | 2088885565 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251C00000X | Developmentally Disabled Services Day Training Agency | Secondary | 3GEM043 | ID |
| 251C00000X | Developmentally Disabled Services Day Training Agency | Primary | 4GEM014 | ID |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806276000 | Medicaid | ID | — |
| 002571100 | Medicaid | ID | — |
| 806782800 | Medicaid | ID | — |
| 002570900 | Medicaid | ID | — |
Copy-ready billing details
Provider: Gem State Developmental Center LLC NPI: 1760523062 Taxonomy: 251C00000X (Developmentally Disabled Services Day Training Agency) Address: 818 NW 15TH ST, Meridian, ID, 83642
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1962762534 | Lori Poole | Individual | Social Worker | Meridian, ID |
| 1023667524 | Gem State Developmental Center LLC | Organization | Day Training/Habilitation Specialist | Meridian, ID |
Verify this record
Cross-check NPI 1760523062 against the authoritative CMS record: view Gem State Developmental Center LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Gem State Developmental Center LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-10-22.