ROAD TO RECOVERY, INC. (NPI# 1437685799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437685799 |
Entity Type | Organization |
Organization Name | ROAD TO RECOVERY, INC. |
Practice Address |
165 W. Main Lava Hot Springs ID 83246 |
Mailing Address |
Po Box 6249 Pocatello ID 83205-6249 |
Practice Telephone | 2082339135 |
Practice Fax Number | 2082339136 |
Mailing Telephone | 2082339135 |
Mailing Fax Number | 2082339136 |
Enumeration Date | 2017-05-05 |
Last Update Date | 2017-05-05 |
Authorized Official Name | MRS. JODY OWENS (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2082339135 |
Authorized Official Credential | MS LCPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 000133235 | ID | Residential Treatment Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | ROAD TO RECOVERY, INC. | 9400 Lomax St, Houston, TX 77093-6738 |
Indiana Business Entities | ROAD TO RECOVERY, INC. | 2018 North Clinton Street, Fort Wayne, IN 46805 |
Street Address |
165 W. MAIN |
City | LAVA HOT SPRINGS |
State | ID |
Zip Code | 83246 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033573993 | Therapy In Motion Inc | Substance Abuse Rehabilitation Facility | 178 West Main Street, Lava Hot Springs, ID 83246 | 2016-04-07 |
1346633849 | Therapy In Motion Inc | Substance Abuse Rehabilitation Facility | 165 West Main St, Lava Hot Springs, ID 83246 | 2015-03-09 |
1851589139 | John C. Fleming | Social Worker | 165 West Main Street, Lava Hot Springs, ID 83246 | 2007-10-11 |
1427057926 | Health West, Inc. | Family Medicine | 85 S 5th W, Lava Hot Springs, ID 83246 | 2005-07-18 |
1194366013 | Tina Guedes | Nurse Practitioner | 85 S 5th W, Lava Hot Springs, ID 83246 | 2019-10-02 |
1699767004 | Helene P Edmo | Nurse Practitioner | 85 S 5th W, Lava Hot Springs, ID 83246 | 2005-08-22 |
1356418412 | Pamela Goodliffe | Dentist | 585 West Booth, Lava Hot Springs, ID 83246-0458 | 2006-11-30 |
1437371812 | Robert Brent Hubbard | Radiology | 12888 Porcupine Pass, Lava Hot Springs, ID 83246-0834 | 2007-05-03 |
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 |
---|---|---|---|---|
1033573993 | Therapy In Motion Inc | Substance Abuse Rehabilitation Facility | 178 West Main Street, Lava Hot Springs, ID 83246 | 2016-04-07 |
1346633849 | Therapy In Motion Inc | Substance Abuse Rehabilitation Facility | 165 West Main St, Lava Hot Springs, ID 83246 | 2015-03-09 |
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 |
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 |
1518357649 | Sage Recovery LLC | Substance Abuse Rehabilitation Facility | 2995 N Cole Rd Ste 255, Boise, ID 83704-5976 | 2015-01-27 |
1083977656 | Higher Ground Retreat, LLC | Substance Abuse Rehabilitation Facility | 17626 Deer Flat Rd, Caldwell, ID 83607-9779 | 2012-06-19 |
1902175979 | Rainbow's End Recovery Center LLC | Substance Abuse Rehabilitation Facility | 25341 N. Highway 93, Challis, ID 83226 | 2011-12-21 |
1962667782 | Bow Creek Recovery Center | Substance Abuse Rehabilitation Facility | 24093 Bow Creek Ln, Caldwell, ID 83607-7529 | 2008-07-21 |
1861500035 | The Walker Center for Alcoholism & Drug Abuse, Inc. | Substance Abuse Rehabilitation Facility | 605 11th Ave E, Gooding, ID 83330-5368 | 2006-08-28 |
1922533520 | Tru Transitional Resources United Inc | Substance Abuse Rehabilitation Facility | 6639 W Hollilynn Dr, Boise, ID 83709-7271 | 2017-04-21 |
Find all providers with the same taxonomy |
City | LAVA HOT SPRINGS |
Zip Code | 83246 |
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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.