PARADISE CREEK RECOVERY CENTER INC
NPI 1629561139
Counselor - Mental Health in Malta, ID

Q: What is Paradise Creek Recovery Center Inc's NPI number?

The NPI number for Paradise Creek Recovery Center Inc is 1629561139. It was assigned to this organization in the NPPES registry on June 8, 2018.

Q: What is Paradise Creek Recovery Center Inc's specialty?

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

Active since June 08, 2018

2666 S HIGHWAY 81, MALTA, ID 83342(855) 442-1912(435) 713-4001 Get Directions Write a Review

NPPES record last updated: June 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Paradise Creek Recovery Center Inc NPPES

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

PARADISE CREEK RECOVERY CENTER INC (NPI 1629561139) is a healthcare organization registered as a mental health in Malta, Idaho and active in the NPI registry since June 2018. The organization lists Matthew Taylor Hedelius, President, as its authorized official.

NPPES Registry Identity

NPI1629561139

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NamePARADISE CREEK RECOVERY CENTER INC

Location Address2666 S HIGHWAY 81Malta, ID 83342-8749

Mailing Address40 W Cache Valley Blvd Ste 10aLogan, UT 84341-8450 · (435) 787-2272 · Fax (435) 713-4001

Phone(855) 442-1912

Fax(435) 713-4001

Organization SubpartNo

Authorized OfficialMatthew Taylor HedeliusPresident · (435) 881-2500

Enumeration DateJune 8, 2018

✔ NPI 1629561139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

2666 S HIGHWAY 81, Malta, ID 83342

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Paradise Creek Recovery Center Inc's NPI number?

The NPI number for Paradise Creek Recovery Center Inc is 1629561139. It was assigned to this organization in the NPPES registry on June 8, 2018.

Where is Paradise Creek Recovery Center Inc located?

Paradise Creek Recovery Center Inc is located at 2666 S Highway 81, Malta, ID 83342. The listed phone number is (855) 442-1912.

What is Paradise Creek Recovery Center Inc'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 Paradise Creek Recovery Center Inc was last updated on June 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.