RENAISSANCE RANCH
NPI 1063820629
Clinic/Center - Rehabilitation, Substance Use Disorder in Pocatello, ID
NPI Status: Active since July 28, 2014
Contact Information
4460 CENTRAL WAY
POCATELLO, ID
ZIP 83202
Phone: (208) 522-6155
Fax: (208) 522-6156
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
About RENAISSANCE RANCH
This page provides the complete NPI Profile along with additional information for Renaissance Ranch, a provider established in Pocatello, Idaho operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1063820629 assigned on July 2014. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Renaissance Ranch operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Renaissance Ranch. The authorized official of this NPI record is Mr. David Pinegar (Executive Director)
- NPI
- 1063820629
- Provider Legal Name
- THRONE OF GRACE, LLC.
- Other Organization Name
- RENAISSANCE RANCH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4460 CENTRAL WAY POCATELLO, ID 83202
- Location Phone
- (208) 522-6155
- Location Fax
- (208) 522-6156
- Mailing Address
- 1165 S UTAH AVE IDAHO FALLS, ID 83402
- Mailing Phone
- (208) 522-6155
- Mailing Fax
- (208) 522-6156
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-28-2014
- Last Update Date
- 07-28-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
- License State
- ID
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Reviews for RENAISSANCE RANCH
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063820629, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 17 providers are registered at the same or a nearby location.
CHUBBUCK, ID 83202
CHUBBUCK, ID 83202
CHUBBUCK, ID 83202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063820629, enumerated as an "organization" on July 28, 2014.
The provider is located at 4460 CENTRAL WAY POCATELLO, ID 83202 and the phone number is (208) 522-6155.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
