RENAISSANCE RANCH BLUFFDALE WOMEN'S PROGRAM – NPI #1952848509
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.

RENAISSANCE RANCH BLUFFDALE WOMEN'S PROGRAM is a substance abuse rehabilitation facility located in BLUFFDALE, UT. NPPES has assigned the NPI number 1952848509 to RENAISSANCE RANCH BLUFFDALE WOMEN'S PROGRAM on January 20, 2017. 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.

The NPI profile was previously updated about 9 years ago on Jan 23, 2017. 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 BLUFFDALE WOMEN'S PROGRAM below.

NPI Profile for
RENAISSANCE RANCH BLUFFDALE WOMEN'S PROGRAM

NPI Number
1952848509
Enumeration Date

(more than 9 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 BLUFFDALE WOMEN'S PROGRAM
Primary location
2356 THUNDERHEAD WAY
BLUFFDALE, UT 84065
Phone: (801) 545-0406 Fax:
Mailing address
2973 W 13800 S
BLUFFDALE, UT 84065
Phone: Fax:
Organization Subpart
Yes - RENAISSANCE RANCH BLUFFDALE WOMEN'S PROGRAM is subpart of another organization.
Authorized Official
WENDY PATTON
ADMINISTRATIVE DIRECTOR
Phone: (801) 856-7836
Updated
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)
UT 37525

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.