Renaissance Ranch Idaho

LBN: Renaissance Ranch Idaho
Renaissance Ranch Idaho is an health care organization with primary practice located at 1275 N 400 E Apt F , Rupert ID 83350-8549. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Renaissance Ranch Idaho can be contacted via phone (801) 545-0406, or through Golesh, Elly via phone (385) 321-0244.

Contact Information

Primary practice address
1275 N 400 E Apt F Rupert ID 83350-8549
Phone: (801) 545-0406
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Golesh, Elly
Phone: (385) 321-0244

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1801649090
LBN Legal business name Renaissance Ranch Idaho
DBA Doing business as
Authorized official Golesh, Elly
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 8th, 2024
Last updated Apr 8th, 2024 - about last year

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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