IDAHO RECOVERY CENTER, LLC.
NPI 1366099293
Counselor - Mental Health in Idaho Falls, ID

Active since August 26, 2019
771 SOUTH WOODRUFF AVENUE, IDAHO FALLS, ID 83401(208) 534-8303 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Idaho Recovery Center, Llc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDAHO RECOVERY CENTER, LLC. (NPI 1366099293) is a healthcare organization registered as a mental health in Idaho Falls, Idaho and active in the NPI registry since August 2019. The organization lists Matthew Smith, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1366099293
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameIDAHO RECOVERY CENTER, LLC.
Location Address771 SOUTH WOODRUFF AVENUEIdaho Falls, ID 83401
Mailing Address3270 E 17th St # 261Ammon, ID 83406-6758 · (208) 534-8303
Organization SubpartNo
Authorized OfficialMatthew SmithExecutive Director · (208) 534-8303
Enumeration DateAugust 26, 2019
NPI 1366099293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
771 SOUTH WOODRUFF AVENUE, Idaho Falls, ID 83401

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
771 SOUTH WOODRUFF AVENUE
IDAHO FALLS, ID 83401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idaho Recovery Center, LLC.'s NPI number?

The NPI number for Idaho Recovery Center, LLC. is 1366099293. It was assigned to this organization in the NPPES registry on August 26, 2019.

Where is Idaho Recovery Center, LLC. located?

Idaho Recovery Center, LLC. is located at 771 South Woodruff Avenue, Idaho Falls, ID 83401. The listed phone number is (208) 534-8303.

What is Idaho Recovery Center, LLC.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Idaho Recovery Center, LLC. was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.