Throne of Grace, LLC.
NPI 1063820629 · Substance Use Disorder Rehabilitation Clinic/Center · Pocatello, ID
Throne of Grace, LLC. is a Substance Use Disorder Rehabilitation Clinic/Center organization in Pocatello, ID (NPI 1063820629).
Provider details
- NPI number
- 1063820629
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Pinegar, Executive Director(208) 522-6155
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Renaissance Ranch
Registry dates
- Enumerated
- 2014-07-28
- Last updated
- 2014-07-28
Frequently asked questions
- What is Throne of Grace, LLC.'s NPI number?
- Throne of Grace, LLC.'s National Provider Identifier (NPI) is 1063820629, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Throne of Grace, LLC.?
- Throne of Grace, LLC. is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Throne of Grace, LLC. located?
- Throne of Grace, LLC.'s practice location on file with NPPES is 4460 Central Way, Pocatello, ID 83202-5095.
- What is Throne of Grace, LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Throne of Grace, LLC. is (208) 522-6155.
- Who is the authorized official for Throne of Grace, LLC.?
- The authorized official listed on Throne of Grace, LLC.'s NPPES record is David Pinegar, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Throne of Grace, LLC.'s NPI active?
- Yes — Throne of Grace, LLC.'s NPI (1063820629) is active in the NPPES registry as of the last update on 2014-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.