HIGHER GROUND RETREAT, LLC (NPI# 1083977656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083977656 |
| Entity Type | Organization |
| Organization Name | HIGHER GROUND RETREAT, LLC |
| Practice Address |
17626 Deer Flat Rd Caldwell ID 83607-9779 |
| Practice Telephone | 8554974763 |
| Mailing Telephone | 8554974763 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |
| Authorized Official Name | MS. BEATRICE SUSAN CARROLL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2084407009 |
| Authorized Official Credential | LCSW, LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | LCSW 1159 | ID | Residential Treatment Facilities |
| Street Address |
17626 DEER FLAT RD |
| City | CALDWELL |
| State | ID |
| Zip Code | 83607-9779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831439876 | Higher Ground Laboratory LLC | Clinical Medical Laboratory | 17626 Deer Flat Rd, Caldwell, ID 83607-9779 | 2013-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609106012 | Cordell Denton Nebeker | Dentist | 4111 Clocktower Ave., Caldwell, ID 83607 | 2010-01-07 |
| 1265677587 | Cory Shane Lindstrom | Chiropractor | 5216 E. Cleveland Blvd, Ste G, Caldwell, ID 83607 | 2008-12-16 |
| 1154533727 | Reality Based Services | Case Management | 24151 El Paso Rd, Caldwell, ID 83607 | 2007-05-04 |
| 1407998271 | Patrick L Waite | Dentist | 4101 Clock Tower Ave, Caldwell, ID 83607 | 2007-02-12 |
| 1104276377 | Jae's Transportaion LLC | Non-emergency Medical Transport (VAN) | 14310 Tara St, Caldwell, ID 83607-1431 | 2016-06-17 |
| 1417224460 | Rebecca Anne Tormey | Physical Therapist | 1202 Talon Ct, Caldwell, ID 83607-1579 | 2011-11-18 |
| 1174677603 | Vallivue School District #139 | Local Education Agency (LEA) | 5207 S Montana Ave, Caldwell, ID 83607-1583 | 2007-01-22 |
| 1679026447 | Kimberly Drewrey, Aprn, Np-c | Point of Service | 5210 Cleveland Blvd, Suite 140 #344, Caldwell, ID 83607-1796 | 2016-07-28 |
| 1619007903 | Mandy R Redmond | Specialist/Technologist | 1407 E Homedale Rd, Caldwell, ID 83607-1848 | 2007-03-06 |
| 1326263179 | Kira Ann Skroh | Specialist/Technologist | 1407 E Homedale Rd, Caldwell, ID 83607-1848 | 2007-04-16 |
| Find all providers in zip 83607 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962667782 | Bow Creek Recovery Center | Substance Abuse Rehabilitation Facility | 24093 Bow Creek Ln, Caldwell, ID 83607-7529 | 2008-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1861983413 | Moonlight Mountain Recovery, Inc | Substance Abuse Rehabilitation Facility | 5230 W Moonlight Mine Rd, Pocatello, ID 83201-9013 | 2018-05-18 |
| 1437685799 | Road To Recovery, Inc. | Substance Abuse Rehabilitation Facility | 165 W. Main, Lava Hot Springs, ID 83246 | 2017-05-05 |
| 1033573993 | Therapy In Motion Inc | Substance Abuse Rehabilitation Facility | 178 West Main Street, Lava Hot Springs, ID 83246 | 2016-04-07 |
| 1992179253 | North Idaho Ranch Recovery Clinic | Substance Abuse Rehabilitation Facility | 4570 S Stach Rd, Coeur D Alene, ID 83814-7955 | 2015-11-23 |
| 1154709087 | Northpoint Recovery LLC | Substance Abuse Rehabilitation Facility | 10787 Ustick Rd, Boise, ID 83713-5104 | 2015-05-12 |
| 1346633849 | Therapy In Motion Inc | Substance Abuse Rehabilitation Facility | 165 West Main St, Lava Hot Springs, ID 83246 | 2015-03-09 |
| 1518357649 | Sage Recovery LLC | Substance Abuse Rehabilitation Facility | 2995 N Cole Rd Ste 255, Boise, ID 83704-5976 | 2015-01-27 |
| 1902175979 | Rainbow's End Recovery Center LLC | Substance Abuse Rehabilitation Facility | 25341 N. Highway 93, Challis, ID 83226 | 2011-12-21 |
| 1861500035 | The Walker Center for Alcoholism & Drug Abuse, Inc. | Substance Abuse Rehabilitation Facility | 605 11th Ave E, Gooding, ID 83330-5368 | 2006-08-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.