Renaissance Ranch Idaho
Renaissance Ranch Idaho is a healthcare organization registered as Substance Abuse Rehabilitation Facility in Rupert, ID, holding Type 2 (organization) NPI 1801649090 since 2024. The authorized official on file is Elly Golesh, Administration.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1801649090 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Renaissance Ranch Idaho |
| Parent organization | Awakening Behavioral Health |
| Practice address | 1275 N 400 E APT F, Rupert, ID, 83350 |
| Phone | 8015450406 |
| Enumeration date | 2024-04-08 |
| Last updated in NPPES | 2024-04-08 |
Authorized official
| Name | Elly Golesh |
|---|---|
| Title | Administration |
| Phone | 3853210244 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | Primary | — | — |
Copy-ready billing details
Provider: Renaissance Ranch Idaho NPI: 1801649090 Taxonomy: 324500000X (Substance Abuse Rehabilitation Facility) Address: 1275 N 400 E APT F, Rupert, ID, 83350
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1467269175 | Ryan Wilkinson | Individual | Mental Health Counselor | Rupert, ID |
Verify this record
Cross-check NPI 1801649090 against the authoritative CMS record: view Renaissance Ranch Idaho 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 is the NPI number for Renaissance Ranch Idaho?
Who is the authorized official for Renaissance Ranch Idaho?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-04-08.