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Renaissance Ranch Idaho

Substance Abuse Rehabilitation Facility in Rupert, ID · enumerated 2024 · authorized official Elly Golesh, Administration.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1801649090

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Registry record

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 (801) 545-0406
Enumeration date Apr 8, 2024
Last updated in NPPES Apr 8, 2024

Taxonomy & classification

324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities Primary

Authorized official

Name Elly Golesh
Title Administration
Phone (385) 321-0244

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.

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Frequently asked questions

What is the NPI number for Renaissance Ranch Idaho?
The NPI for Renaissance Ranch Idaho is 1801649090, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Renaissance Ranch Idaho?
NPPES lists Elly Golesh (Administration) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-08.