Renaissance Ranch

LBN: Brick House Recovery
Renaissance Ranch is an health care organization with primary practice located at 1125 E Pine Ave , Meridian ID 83642-5955. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Brick House Recovery can be contacted via phone (208) 286-4274, or through Coombs, Jason Douglas via phone (801) 350-1716.

Contact Information

Primary practice address
1125 E Pine Ave Meridian ID 83642-5955
Phone: (208) 286-4274
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Coombs, Jason Douglas MPC
Phone: (801) 350-1716

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Idaho
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X Idaho

Profile Details

NPI number 1083150296
LBN Legal business name Brick House Recovery
DBA Doing business as Renaissance Ranch
Authorized official Coombs, Jason Douglas MPC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2017
Last updated Jan 11th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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