Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Throne of Grace, LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1104173467

Throne of Grace, LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1165 S Utah Ave
Idaho Falls, ID 83402-3321
Phone: (208) 522-6155
Fax: (208) 522-6156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X (ID)

Record details

NPI number1104173467
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Pinegar — Executive Director · (208) 522-6155
Other names Renaissance Ranch
NPI enumeratedAugust 6, 2012
Last updated in NPPESDecember 26, 2012
Mailing address1165 S Utah Ave, Idaho Falls, ID 83402-3321

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