Renaissance Ranch Heyburn
Renaissance Ranch Heyburn is a healthcare organization registered as Substance Abuse Rehabilitation Facility in Heyburn, ID, holding Type 2 (organization) NPI 1114692373 since 2021. The authorized official on file is Tyson Dixon, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114692373 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Renaissance Ranch Heyburn |
| Practice address | 312 S 950 W, Heyburn, ID, 83336 |
| Phone | 8557367262 |
| Enumeration date | 2021-08-10 |
| Last updated in NPPES | 2021-08-10 |
Authorized official
| Name | Tyson Dixon |
|---|---|
| Title | Owner |
| Phone | 8018600118 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | Primary | — | — |
Copy-ready billing details
Provider: Renaissance Ranch Heyburn NPI: 1114692373 Taxonomy: 324500000X (Substance Abuse Rehabilitation Facility) Address: 312 S 950 W, Heyburn, ID, 83336
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1023524196 | Casey Smith | Individual | Family Nurse Practitioner | Heyburn, ID |
Verify this record
Cross-check NPI 1114692373 against the authoritative CMS record: view Renaissance Ranch Heyburn on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Renaissance Ranch Heyburn?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-08-10.