CORNERSTONE WELLNESS AND RECOVERY LLC NPI 1851234975

NPI Information

  • NPI: 1851234975
  • Provider Name: CORNERSTONE WELLNESS AND RECOVERY LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 522 LOMAX ST
    IDAHO FALLS, ID
    ZIP 83401
  • Phone: (208) 557-9111

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NPI Details

CORNERSTONE WELLNESS AND RECOVERY LLC is a rehabilitation and substance use disorder clinic center in Idaho Falls, ID. CORNERSTONE WELLNESS AND RECOVERY LLC NPI is 1851234975. The provider is registered as an organization entity type.

The provider's business location address is:

522 LOMAX ST
IDAHO FALLS, ID
ZIP 83401-634
Phone: (208) 557-9111
Fax: (208) 557-9111

The provider's authorized official is Jeremy Manwaring .
The authorized official title is Managing Member and has the following contact phone number (208) 317-9912.

The enumeration date for this NPI number is 4/13/2026 and was last updated on 4/13/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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