RENEWED HORIZONS, LLC (NPI# 1396141305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396141305 |
Entity Type | Organization |
Organization Name | RENEWED HORIZONS, LLC |
Practice Address |
610 W Hubbard St Bay 218 Coeur D Alene ID 83814-2285 |
Practice Telephone | 2192633141 |
Mailing Telephone | 2192633141 |
Enumeration Date | 2014-11-18 |
Last Update Date | 2014-11-18 |
Authorized Official Name | SCOTT GORDON HANSEN (ADMINISTRATOR) |
Authorized Official Telephone | 2192633141 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | DDA-999 | ID | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | DDA-999 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346791944 | Renewed Horizons, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8252 N Wayne Dr, Hayden, ID 83835-5029 | 2016-10-18 |
Street Address |
610 W HUBBARD ST BAY 218 |
City | COEUR D ALENE |
State | ID |
Zip Code | 83814-2285 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215905468 | Norman L Toews | Physical Therapist | 610 W Hubbard St, Ste 122, Coeur D Alene, ID 83814-2285 | 2006-03-14 |
1508293424 | Kimberly Moehring | Physical Therapist | 610 W Hubbard St, Suite 122, Coeur D Alene, ID 83814-2285 | 2013-10-09 |
1679905566 | Houk Chiropractic-coeur D'alene P.C. | Massage Therapist | 610 W Hubbard St, Suite 116, Coeur D Alene, ID 83814-2285 | 2013-08-02 |
1063853240 | Dirne Health Centers, Inc. | Physical Therapist | 610 W Hubbard St, 122, Coeur D Alene, ID 83814-2285 | 2013-07-16 |
1104264811 | Houk Chiropractic-coeur D'alene P.C. | Chiropractor | 610 W Hubbard St, Suite 116, Coeur D Alene, ID 83814-2285 | 2013-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
Find all providers in zip 83814 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871935064 | Community Connections North, Inc. | Day Training, Developmentally Disabled Services | 1230 N Northwood Center Ct, Suite A, Coeur D Alene, ID 83814-4941 | 2013-07-29 |
1255455507 | Tesh, Inc. | Day Training, Developmentally Disabled Services | 3803 Industrial Ave S, Coeur D Alene, ID 83815-8916 | 2007-03-19 |
1730615972 | Ambitions of Idaho Inc | Day Training, Developmentally Disabled Services | 1044 Northwest Blvd Ste F, Coeur D Alene, ID 83814-2165 | 2017-05-09 |
1235354705 | Family Support Services of North Idaho | Day Training, Developmentally Disabled Services | 1115 W Ironwood Dr, Suite C, Coeur D Alene, ID 83814-4936 | 2007-04-17 |
1407971625 | Tesh, Inc. | Day Training, Developmentally Disabled Services | 3803 Industrial Ave S, Coeur D Alene, ID 83815-8916 | 2007-03-20 |
1982728473 | Tesh, Inc. | Day Training, Developmentally Disabled Services | 3803 Industrial Ave S, Coeur D Alene, ID 83815-8916 | 2007-03-19 |
1700900057 | Tesh, Inc. | Day Training, Developmentally Disabled Services | 3803 Industrial Ave S, Coeur D Alene, ID 83815-8916 | 2007-03-19 |
1619091964 | Tesh, Inc. | Day Training, Developmentally Disabled Services | 3803 Industrial Ave S, Coeur D Alene, ID 83815-8916 | 2007-03-19 |
1831232768 | Highroad Human Services, Inc. | Day Training, Developmentally Disabled Services | 2201 N Government Way, Suite B, Coeur D Alene, ID 83814-3658 | 2007-02-14 |
1023151958 | Highroad Human Services, Inc. | Day Training, Developmentally Disabled Services | 2201 N Government Way, Suite B, Coeur D Alene, ID 83814-3658 | 2007-02-14 |
Find all providers in COEUR D ALENE |
City | COEUR D ALENE |
Zip Code | 83814 |
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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.