RENAISSANCE RANCH IDAHO – NPI #1801649090
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 individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

RENAISSANCE RANCH IDAHO is a substance abuse rehabilitation facility located in RUPERT, ID. NPPES has assigned the NPI number 1801649090 to RENAISSANCE RANCH IDAHO on April 08, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

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 RENAISSANCE RANCH IDAHO below.

NPI Profile for
RENAISSANCE RANCH IDAHO

NPI Number
1801649090
Enumeration Date

(more than 2 years 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
RENAISSANCE RANCH IDAHO
Primary location
1275 N 400 E APT F
RUPERT, ID 83350-8549
Phone: (801) 545-0406 Fax:
Mailing address
2973 W 13800 S
BLUFFDALE, UT 84065-8202
Phone: Fax:
Organization Subpart
Yes - RENAISSANCE RANCH IDAHO is subpart of another organization.
Authorized Official
ELLY GOLESH
ADMINISTRATION
Phone: (385) 321-0244
Updated
Certification Date
Apr 08, 2024

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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

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.