RENAISSANCE RANCH OUTPATIENT TREATMENT (NPI# 1518324383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518324383 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE RANCH OUTPATIENT TREATMENT |
| Other Organization Name | RENAISSANCE RANCH OUTPATIENT - OREM MEN |
| Practice Address |
265 W Center St Orem UT 84057-4611 |
| Practice Telephone | 8015724325 |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |
| Authorized Official Name | CHERYL WACK (BILLING MANAGER) |
| Authorized Official Telephone | 8013812928 |
| Is Organization Subpart | Y |
| Parent Organization Name | RENAISSANCE RANCH OUTPATIENT TREATMENT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 4625 | UT | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Renaissance Ranch Outpatient - Orem Men | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710344585 | Renaissance Ranch Outpatient Treatment | Substance Abuse Rehabilitation Facility | 591 W 800 N Ste 202, Orem, UT 84057-3762 | 2016-01-25 |
| 1700243573 | Renaissance Ranch Outpatient Treatment | Substance Abuse Rehabilitation Facility | 1466 N Highway 89 Ste 230, Farmington, UT 84025-2738 | 2016-01-25 |
| Street Address |
265 W CENTER ST |
| City | OREM |
| State | UT |
| Zip Code | 84057-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962530949 | J. Chris Crawford | Dentist | 265 W Center St, Orem, UT 84057-4611 | 2007-03-01 |
| 1396873394 | Richard S Leishman | Dentist | 265 W Center St, Orem, UT 84057-4611 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529932 | Jessica Chang | Social Worker | 870 W, Center, UT 84057 | 2020-08-21 |
| 1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
| 1750911996 | Joanna Ramirez | Behavioral Analyst | 1443 West 800 North #103, Orem, UT 84057 | 2020-01-15 |
| 1790321842 | Nicole Rose Mcdougal | Speech-Language Pathologist | 527 400 N, Ste 2, Orem, UT 84057 | 2019-11-25 |
| 1871151837 | Robert B Fujiki | Speech-Language Pathologist | 1935 N90 W, Orem, UT 84057 | 2019-06-04 |
| 1669965562 | Brian Quigley Inc. | Hearing Instrument Specialist | 895 West Center Street, Orem, UT 84057 | 2018-06-14 |
| 1568960250 | Catherine Collins | Nurse Practitioner | 700 W. 800 N., Suite 220, Orem, UT 84057 | 2018-01-27 |
| 1821596073 | Venice Lucia Wilkes | Physician Assistant | 700 W 800 N # 220, Orem, UT 84057 | 2018-01-23 |
| 1851811160 | Jessie Carlson | Behavior Technician | 475 West 260 North, Orem, UT 84057 | 2017-06-27 |
| 1588013890 | Li Ping Su | Marriage & Family Therapist | 1027 W 1033 N, S108, Orem, UT 84057 | 2016-06-07 |
| Find all providers in zip 84057 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710344585 | Renaissance Ranch Outpatient Treatment | Substance Abuse Rehabilitation Facility | 591 W 800 N Ste 202, Orem, UT 84057-3762 | 2016-01-25 |
| 1093043697 | New Roads Treatment Centers | Substance Abuse Rehabilitation Facility | 1365 South 1250 West, Suite 101, Orem, UT 84058 | 2009-11-20 |
| 1710129663 | Nexstep LLC | Substance Abuse Rehabilitation Facility | 353 E 1200 S, Orem, UT 84058-6904 | 2009-03-24 |
| 1912108242 | Cirque Lodge Inc. | Substance Abuse Rehabilitation Facility | 777 N Palisades Dr, Orem, UT 84097-4341 | 2007-05-31 |
| 1427445980 | Steps Recovery Center | Substance Abuse Rehabilitation Facility | 901 S Orem Blvd, Orem, UT 84058-5011 | 2015-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013886 | Brc Wellness LLC | Substance Abuse Rehabilitation Facility | 4911 S 900 E Ste B, Salt Lake City, UT 84117-5747 | 2020-11-06 |
| 1891307104 | Steps Recovery Center | Substance Abuse Rehabilitation Facility | 345 E 4500 S # 100-140, Murray, UT 84107-3991 | 2020-08-18 |
| 1104460666 | Active Recovery, LLC | Substance Abuse Rehabilitation Facility | 25 S Main St # 212, Centerville, UT 84014-1840 | 2019-10-28 |
| 1437709441 | Insight Recovery Cedar City, LLC | Substance Abuse Rehabilitation Facility | 1050 W Old Highway 91, Parowan, UT 84761-7725 | 2019-09-12 |
| 1316506470 | Evnsq, LLC | Substance Abuse Rehabilitation Facility | 5162 S Highland Dr, Holladay, UT 84117-7048 | 2019-06-11 |
| 1114584356 | Juniper Canyon Recovery Center for Women, LLC | Substance Abuse Rehabilitation Facility | 520 North Aspen Road, Loa, UT 84747-8474 | 2019-05-23 |
| 1750948030 | Liberty Addiction Recovery Centers LLC | Substance Abuse Rehabilitation Facility | 10458 N 6570 W, Highland, UT 84003-9311 | 2019-05-22 |
| 1235793290 | Mountain Valley Recovery LLC | Substance Abuse Rehabilitation Facility | 9431 N 400 W, Holden, UT 84636 | 2019-04-25 |
| 1346803525 | Brookstone Foundation | Substance Abuse Rehabilitation Facility | 198 N 100 E # 198n100e, St George, UT 84770-2831 | 2019-04-15 |
| 1639649684 | Sterling Recovery | Substance Abuse Rehabilitation Facility | 525 W 465 N Ste 130, Providence, UT 84332-5604 | 2018-12-03 |
| 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.