RENAISSANCE RANCH IDAHO
NPI 1801649090
Substance Abuse Rehabilitation Facility in Rupert, ID

NPI Status: Active since April 08, 2024

Contact Information

1275 N 400 E APT F
RUPERT, ID
ZIP 83350
Phone: (801) 545-0406

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  • Organization
  • Substance Abuse Rehabilitation Facility

About RENAISSANCE RANCH IDAHO

This page provides the complete NPI Profile along with additional information for Renaissance Ranch Idaho, a provider established in Rupert, Idaho operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1801649090 assigned on April 2024. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Elly Golesh (Administration)

NPI
1801649090
Provider Name
RENAISSANCE RANCH IDAHO
Entity Type
Organization
Location Address
1275 N 400 E APT F RUPERT, ID 83350
Location Phone
(801) 545-0406
Mailing Address
2973 W 13800 S BLUFFDALE, UT 84065
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-08-2024
Last Update Date
04-08-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ELLY GOLESH

Authorized Official Title
ADMINISTRATION
Authorized Official Phone
(385) 321-0244

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1801649090
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
280112418018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 1 + 2 + 4 + 1 + 8 + 0 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1801649090 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467269175 RYAN JAMES WILKINSON LMSW
Individual
Counselor (Mental Health)1275 N 400 E APT F
RUPERT, ID 83350
(801) 228-7082

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801649090, enumerated in the NPI registry as an "organization" on April 08, 2024

The provider is located at 1275 N 400 E Apt F Rupert, Id 83350 and the phone number is (801) 545-0406

This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X

This NPI record was last updated on April 08, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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