Renaissance Ranch

LBN: Throne Of Grace, Llc.
Renaissance Ranch is an health care organization with primary practice located at 1165 S Utah Ave , Idaho Falls ID 83402-3321. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Throne Of Grace, Llc. can be contacted via phone (208) 522-6155, or through Pinegar, David W via phone (208) 522-6155.

Contact Information

Primary practice address
1165 S Utah Ave Idaho Falls ID 83402-3321
Phone: (208) 522-6155
Fax: (208) 522-6156
Website:
Map and Directions
Authorized official contact:
Name: Pinegar, David W
Phone: (208) 522-6155

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X Idaho

Profile Details

NPI number 1104173467
LBN Legal business name Throne Of Grace, Llc.
DBA Doing business as Renaissance Ranch
Authorized official Pinegar, David W
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2012
Last updated Dec 26th, 2012 - about 12 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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