SAGE RECOVERY LLC (NPI# 1518357649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518357649 |
| Entity Type | Organization |
| Organization Name | SAGE RECOVERY LLC |
| Practice Address |
2995 N Cole Rd Ste 255 Boise ID 83704-5976 |
| Practice Telephone | 2082873285 |
| Practice Fax Number | 2089952896 |
| Mailing Telephone | 2082873285 |
| Mailing Fax Number | 2089952896 |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |
| Authorized Official Name | MR. BLAINE AARON WOOD (OWNER) |
| Authorized Official Telephone | 2084840231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | ID | Residential Treatment Facilities |
| Street Address |
2995 N COLE RD STE 255 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-5976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770074403 | Lauren R Thompson | Counselor | 2995 N Cole Rd Ste 255, Boise, ID 83704-5976 | 2018-05-29 |
| 1912498825 | Steve Thomas Welsh | Social Worker | 2995 N Cole Rd Ste 255, Boise, ID 83704-5976 | 2018-05-25 |
| 1144723818 | Stefanie Anne Corbett | Counselor | 2995 N Cole Rd Ste 255, Boise, ID 83704-5976 | 2018-03-08 |
| 1255852638 | Balance Recovery LLC | Community/Behavioral Health | 2995 N Cole Rd Ste 255, Boise, ID 83704-5976 | 2017-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| 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 |
|---|---|---|---|---|
| 1154709087 | Northpoint Recovery LLC | Substance Abuse Rehabilitation Facility | 10787 Ustick Rd, Boise, ID 83713-5104 | 2015-05-12 |
| 1922533520 | Tru Transitional Resources United Inc | Substance Abuse Rehabilitation Facility | 6639 W Hollilynn Dr, Boise, ID 83709-7271 | 2017-04-21 |
| 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 |
| 1346633849 | Therapy In Motion Inc | Substance Abuse Rehabilitation Facility | 165 West Main St, Lava Hot Springs, ID 83246 | 2015-03-09 |
| 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 |
| 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.