Active NPI
Healing Sanctuary LLC
Doing business as The Healing Sanctuary LLC
- Clinic/Center
- Idaho Falls, ID
National Provider Identifier
1346799483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- HEALING SANCTUARY LLC
- Doing business as
- The Healing Sanctuary LLC
- Practice address
- 187 E 13TH St
Idaho Falls, ID 83404-5305 - Phone
- (208) 497-0500
- Fax
- (208) 497-0505
- NPI assigned
- Sep 30, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Becky Watson
- Title
- Billing Supervisor
- Phone
- (208) 497-0500
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
187 E 13TH St
Idaho Falls, ID 83404-5305
Mailing address
187 E 13TH St
Idaho Falls, ID 83404-5305
Phone (208) 497-0500
Other names 1
- The Healing Sanctuary LLC
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2123747 | The Healing Sanctuary | Provider-performed microscopy | Dec 29, 2026 |
National Provider Directory
National Provider DirectoryLocations
187 E 13th St
Idaho Falls, ID 83404
Phone (208) 497-0500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702944000000",
"number": "1346799483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 E 13TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834045305",
"telephone_number": "208-497-0500",
"fax_number": "208-497-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 E 13TH ST",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834045305",
"telephone_number": "208-497-0500",
"fax_number": "208-497-0505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING SANCTUARY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-30",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "BECKY",
"authorized_official_title_or_position": "BILLING SUPERVISOR",
"authorized_official_telephone_number": "208-497-0500"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Healing Sanctuary LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Healing Sanctuary LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.