FAMILY RECOVERY CENTER FOUNDATION (NPI# 1932257524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932257524 |
| Entity Type | Organization |
| Organization Name | FAMILY RECOVERY CENTER FOUNDATION |
| Practice Address |
1420 E 17th St Suite B Idaho Falls ID 83404-6283 |
| Practice Telephone | 2085350175 |
| Practice Fax Number | 2085420125 |
| Mailing Telephone | 2085350175 |
| Mailing Fax Number | 2085420125 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JEFFREY D HOLBOOK (EXECUTIVE DRIECTOR) |
| Authorized Official Telephone | 2085350175 |
| Authorized Official Credential | CADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ID | Behavioral Health & Social Service Providers |
| Street Address |
1420 E 17TH ST SUITE B |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-6283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306182910 | Latino Stand Up | Community/Behavioral Health | 1420 E 17th St, Suite A, Idaho Falls, ID 83404-6283 | 2012-12-31 |
| 1942546510 | Little Angels | Clinic/Center | 1420 E 17th St, Suite C, Idaho Falls, ID 83404-6283 | 2012-12-29 |
| 1376871335 | Renee Marie Moss | Community Health Worker | 1420 E 17th St, Suite E, Idaho Falls, ID 83404-6283 | 2009-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1467066183 | James Garner Barnes | Counselor | 2275 W Broadway St Ste G, Idaho Falls, ID 83402-2902 | 2020-09-01 |
| 1134767791 | Adam David Rowbury | Counselor | 1020 Land Bank St, Idaho Falls, ID 83402-1809 | 2019-12-13 |
| 1760032502 | Aspen Consulting and Management Services, LLC | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-09-13 |
| 1538611652 | Willow Sage Services LLC | Counselor | 2475 Mesa St, Idaho Falls, ID 83401-3312 | 2016-10-25 |
| 1598118432 | Lindsee Nail | Counselor | 482 Constitution Way, Idaho Falls, ID 83402-3565 | 2016-07-15 |
| 1861844094 | Edward Mathews | Counselor | 482 Constitution Way, Suite 110, Idaho Falls, ID 83402-3565 | 2016-07-12 |
| 1841668761 | Jerilyn Taylor | Counselor | 615 Hoopes Ave, Idaho Falls, ID 83401-6106 | 2015-09-09 |
| 1013398064 | Steven Orme | Counselor | 545 Shoup Ave, Idaho Falls, ID 83402-3575 | 2015-06-16 |
| 1790166122 | Krisilee Kay Cruz | Counselor | 2275 W Broadway St Ste G, Idaho Falls, ID 83402-2902 | 2015-06-11 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on FAMILY RECOVERY CENTER FOUNDATION.
| 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.