CALDWELL RECOVERY CENTER, LLC (NPI# 1467004580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467004580 |
| Entity Type | Organization |
| Organization Name | CALDWELL RECOVERY CENTER, LLC |
| Practice Address |
2719 S Kimball Ave Caldwell ID 83605-5623 |
| Practice Telephone | 2086148611 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Authorized Official Name | GAIL VILLARREAL (PRESIDENT) |
| Authorized Official Telephone | 2086148611 |
| Authorized Official Credential | BS, ICADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
2719 S KIMBALL AVE |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-5623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588002760 | Diana M Bell | Social Worker | 2719 S Kimball Ave, Caldwell, ID 83605-5623 | 2013-06-10 |
| 1679990600 | Teresa June Torres | Social Worker | 2719 S Kimball Ave, Caldwell, ID 83605-5623 | 2014-03-27 |
| 1396183596 | Lynn Stevens | Social Worker | 2719 S Kimball Ave, Caldwell, ID 83605-5623 | 2013-06-10 |
| 1407294697 | Bell Chemical Dependency Ounseling Inc. | Community/Behavioral Health | 2719 S Kimball Ave, Caldwell, ID 83605-5623 | 2013-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933075 | Ashley Ward | Counselor | 1211 North St, Caldwell, OH 43724-1051 | 2020-08-21 |
| 1881217578 | Better Life Recovery LLC | Counselor | 80 Bloomfield Ave Ste 201, Caldwell, NJ 07006-5342 | 2020-05-28 |
| 1891273264 | Amy Michelle Mckown | Counselor | 18003 Woodsfield Rd Ste 2, Caldwell, OH 43724-9709 | 2018-07-30 |
| 1740706845 | Melissa Fitzgerald | Counselor | 18003 Woodsfield Rd, Caldwell, OH 43724-9709 | 2017-08-21 |
| 1659707578 | Dougberto Garcia Zambrano | Counselor | 2211 E Locust St, Caldwell, ID 83605-5946 | 2013-09-24 |
| 1902436199 | Scott Hill | Counselor | 18003 Woodsfield Rd Ste 2, Caldwell, OH 43724-1392 | 2020-01-16 |
| 1497397723 | Serenity Wellness, LLC | Counselor | 524 Cleveland Blvd Ste 230, Caldwell, ID 83605-4076 | 2019-10-08 |
| 1700359361 | Sherry Lynn Wise | Counselor | 15708 Mcconnellsville Rd, Caldwell, OH 43724-9678 | 2019-01-07 |
| 1255813044 | Aaron Elias St.george | Counselor | 524 Cleveland Blvd Ste 230, Caldwell, ID 83605-4080 | 2018-08-29 |
| 1558876243 | Robin Annette Webb | Counselor | 18003 Woodsfield Rd, Caldwell, OH 43724-1391 | 2017-12-05 |
| Find all providers in CALDWELL | ||||
Please comment or provide details below to improve the information on CALDWELL RECOVERY CENTER, LLC.
| 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.