Organization
49 Alpha A
Provider's NPPES record last updated: September 9, 2025
Overview
- Entity Type
- Organization
- NPI
- 1205623527
- Primary Specialty
- Substance Abuse Rehabilitation Facility — Substance Abuse Treatment, Children
- Practice Location
- Jerome, Idaho
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 5:48 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Substance Abuse Rehabilitation Facility
Substance Abuse Treatment, Children
Residential Treatment Facilities
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
Taxonomy code 3245S0500X Counselor
Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YA0400XClinic/Center
Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities
Definition to come...
Taxonomy code 261QR0405X
Practice Locations
Practice Location
1035 N Lincoln Ave
Jerome, Idaho 83338-1816
Phone: (208) 308-0158
Record Information
- Enumeration Date
- April 21, 2025
- Provider's NPPES Record Last Updated
- September 9, 2025
- Certification Date
- September 9, 2025
- NPISignal NPPES Dataset
- August 2026
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