49 ALPHA A – NPI #1205623527
Substance Abuse Rehabilitation Facility

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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

49 ALPHA A is a substance abuse rehabilitation facility located in JEROME, ID. NPPES has assigned the NPI number 1205623527 to 49 ALPHA A on April 21, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3245S0500X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children

The NPI profile was last updated on Sep 09, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 49 ALPHA A below.

NPI Profile for
49 ALPHA A

NPI Number
1205623527
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
49 ALPHA A
Primary location
1035 N LINCOLN AVE
JEROME, ID 83338-1816
Phone: (208) 308-0158 Fax:
Mailing address
1102 KENYON RD
TWIN FALLS, ID 83301-5648
Phone: (208) 751-3013 Fax:
Organization Subpart
No
Authorized Official
GLEN THORNE
PRESIDENT
Phone: (208) 308-0158
Updated
Certification Date
Sep 09, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3245S0500X
- Substance Abuse Rehabilitation Facility / Substance Abuse Treatment, Children (Primary)
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder
101YA0400X
- Counselor / Addiction (Substance Use Disorder)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.