RENEWED HORIZONS, LLC (NPI# 1346791944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346791944 |
| Entity Type | Organization |
| Organization Name | RENEWED HORIZONS, LLC |
| Practice Address |
8252 N Wayne Dr Hayden ID 83835-5029 |
| Practice Telephone | 2089635645 |
| Mailing Telephone | 2089635645 |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |
| Authorized Official Name | MR. SCOTT GORDON HANSEN (ADMINISTRATOR) |
| Authorized Official Telephone | 2089635645 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | RHA-5370 | ID | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | RHA-5370 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396141305 | Renewed Horizons, LLC | Day Training, Developmentally Disabled Services | 610 W Hubbard St, Bay 218, Coeur D Alene, ID 83814-2285 | 2014-11-18 |
| Street Address |
8252 N WAYNE DR |
| City | HAYDEN |
| State | ID |
| Zip Code | 83835-5029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871999888 | Scott Hansen | Developmental Therapist | 8252 N Wayne Dr, Hayden, ID 83835-5029 | 2014-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212371 | Ngan T Nguyen | Pharmacist | 161 E. Prairie Shopping Center, Hayden, ID 83835 | 2020-07-10 |
| 1689158461 | Rskiom, Pllc | Electrodiagnostic Medicine | 9323 N Government Way #6, Hayden, ID 83835 | 2018-09-18 |
| 1235616913 | Kimberly Jill Young | Dietitian, Registered | 8500 N. Atlas Rd., Hayden, ID 83835 | 2018-07-25 |
| 1851894380 | Medicine Man North Pharmacy Inc | Pharmacy | 30585 N Roberts Rd, Hayden, ID 83835 | 2018-03-11 |
| 1366997322 | Jennifer Amber Belmont | Social Worker | 8680 N Wayne Dr, Suite A, Hayden, ID 83835 | 2016-08-19 |
| 1548637994 | Dance Dentistry Pllc | Clinic/Center | 1027 W Prairie Ave, Hayden, ID 83835 | 2015-09-01 |
| 1982012498 | Dallin J. Dance | Dentist | 1027 W. Prairie Ave., Hayden, ID 83835 | 2014-07-28 |
| 1669808614 | Integrated Interventions LLC | Clinic/Center | 2482 E. Glacier Rd., Hayden Lake, ID 83835 | 2013-09-23 |
| 1669812301 | Caleb Jerome Foss | Physical Therapist | 8382 N Wayne Dr Ste 100, Hayden, ID 83835 | 2013-06-26 |
| 1437493798 | Joseph Neal Tessendorf | Chiropractor | 1401 Biztown Loop, Hayden, ID 83835 | 2012-11-26 |
| Find all providers in zip 83835 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336688233 | Novitas Academy | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2625 N Plaza Rd, Emmett, ID 83617-9128 | 2017-02-13 |
| 1174997878 | Zion's Management LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 470 Rigby Lake Dr., Rigby, ID 83442 | 2015-11-18 |
| 1548594328 | Home Again Icf | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2311 E Aruba Ave, Nampa, ID 83686-1292 | 2009-09-25 |
| 1962018564 | Access Behavioral Health Services, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1276 W River St, Boise, ID 83702-7066 | 2020-09-18 |
| 1811292915 | Pearl Group Homes | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1740 E 17th St, Suite A, Idaho Falls, ID 83404-6375 | 2011-01-20 |
| 1356577019 | Grand Teton Service Group | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 329 Park Ave, Idaho Falls, ID 83402-3610 | 2009-06-08 |
| 1548496201 | Grand Teton Service Group | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 329 Park Ave, Idaho Falls, ID 83402-3610 | 2009-06-08 |
| 1417163650 | The Arc, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4402 Albion St, Boise, ID 83705-1324 | 2007-05-15 |
| 1215143458 | The Arc, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4402 Albion St, Boise, ID 83705-1324 | 2007-05-15 |
| 1518081223 | Independence, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1230 N Skyline Dr, Ste. A, Idaho Falls, ID 83402-1720 | 2007-03-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.