Provider Demographics
NPI:1871466532
Name:RESTORATION HEALTH LLC
Entity type:Organization
Organization Name:RESTORATION HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:HAZEL MARIE
Authorized Official - Last Name:REINERS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP- FNP-C
Authorized Official - Phone:208-740-2973
Mailing Address - Street 1:1000 S 16TH ST STE C
Mailing Address - Street 2:
Mailing Address - City:PAYETTE
Mailing Address - State:ID
Mailing Address - Zip Code:83661-3403
Mailing Address - Country:US
Mailing Address - Phone:208-740-2973
Mailing Address - Fax:
Practice Address - Street 1:1000 S 16TH ST # C
Practice Address - Street 2:
Practice Address - City:PAYETTE
Practice Address - State:ID
Practice Address - Zip Code:83661-3403
Practice Address - Country:US
Practice Address - Phone:208-740-2973
Practice Address - Fax:208-702-0018
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RESTORATION HEALTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-27
Last Update Date:2025-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty