Moonlight Mountain Recovery, Inc
NPI 1861983413 · Substance Abuse Rehabilitation Facility · Pocatello, ID
Moonlight Mountain Recovery, Inc is a Substance Abuse Rehabilitation Facility organization in Pocatello, ID (NPI 1861983413).
Provider details
- NPI number
- 1861983413
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Wade Morden, Owner(208) 505-9990
Specialties & taxonomies
Residential Treatment Facilities
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Registry dates
- Enumerated
- 2018-05-18
- Last updated
- 2021-01-13
- Certified
- 2021-01-13
Frequently asked questions
- What is Moonlight Mountain Recovery, Inc's NPI number?
- Moonlight Mountain Recovery, Inc's National Provider Identifier (NPI) is 1861983413, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moonlight Mountain Recovery, Inc?
- Moonlight Mountain Recovery, Inc is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Moonlight Mountain Recovery, Inc located?
- Moonlight Mountain Recovery, Inc's practice location on file with NPPES is 5230 W Moonlight Mine Rd, Pocatello, ID 83201-9013.
- What is Moonlight Mountain Recovery, Inc's phone number?
- The practice phone number listed in the NPPES registry for Moonlight Mountain Recovery, Inc is (208) 505-9990.
- Who is the authorized official for Moonlight Mountain Recovery, Inc?
- The authorized official listed on Moonlight Mountain Recovery, Inc's NPPES record is Wade Morden, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moonlight Mountain Recovery, Inc's NPI active?
- Yes — Moonlight Mountain Recovery, Inc's NPI (1861983413) is active in the NPPES registry as of the last update on 2021-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.