Cornerstone Wellness and Recovery LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CORNERSTONE WELLNESS AND RECOVERY LLC

Practice address

522 Lomax St
Idaho Falls, ID 83401-2634

Phone

(208) 557-9111

Fax

(208) 557-9111

NPI assigned

Apr 13, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Jeremy Manwaring

Title

Managing Member

Phone

(208) 317-9912

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1851234975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 LOMAX ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834012634",
            "telephone_number": "208-557-9111",
            "fax_number": "208-557-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 LOMAX ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834012634",
            "telephone_number": "208-557-9111",
            "fax_number": "208-557-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE WELLNESS AND RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "MANWARING",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "208-317-9912",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew D Cooper, D.O
• Jerry D Cooper, D.P.M.
• Tealynn Cooper
• Jessica Lynn Corbridge, PHARM D
• Jordan Joseph Cormier, PA-C
• Christel Coronado Flores, MD
• Shelley McCarthy Corrigan, PT
• Janet Louise Corson Stanton, R.N.,FNP-C
• Costco Wholesale Corporation
• Costco Wholesale Corporation

• Substance Use Disorder Rehabilitation Clinic/Center in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.