Organization Active NPI

Stewards of Recovery

  • Community/Behavioral Health Agency
  • Idaho Falls, ID
National Provider Identifier
1720486228
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
STEWARDS OF RECOVERY
Practice address
685 1St St
Idaho Falls, ID 83401-4003
Phone
(208) 932-4493
NPI assigned
Dec 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Wagner
Title
Ceo
Phone
(208) 932-4493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

685 1St St
Idaho Falls, ID 83401-4003

Mailing address

685 1St St
Idaho Falls, ID 83401-4003
Phone (208) 932-4493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180516002215 ID Part B Supplier - Clinic/Group Practice 8527327220 Receives reassigned benefits from 1 practitioner
Practice locations: Blackfoot, ID; Idaho Falls, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2277047Stewards of Recovery685 1St St, Idaho Falls, ID 83401Certificate of waiverFeb 20, 2027

National Provider Directory

National Provider Directory
Tax ID family
Stewards of Recovery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

685 1st St
Idaho Falls, ID 83401
Phone (208) 520-8239

755 Lomax St
Idaho Falls, ID 83401
Phone (208) 552-2860

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1720486228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 1ST ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014003",
            "telephone_number": "208-932-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 1ST ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014003",
            "telephone_number": "208-932-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWARDS OF RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-932-4493"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.