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RENAISSANCE RANCH TREATMENT CENTERS
NPI 1619412046
Substance Abuse Rehabilitation Facility in Bluffdale, UT

Active since December 20, 2016
2973 W 13800 S, BLUFFDALE, UT 84065(801) 545-0406 Get Directions Write a Review

NPPES record last updated: March 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2020, Mar 3, 2020, Nov 18, 2019 and 2 more (5 updates tracked since 2016).

About Renaissance Ranch Treatment Centers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENAISSANCE RANCH TREATMENT CENTERS (NPI 1619412046) is a healthcare organization registered as a substance abuse rehabilitation facility in Bluffdale, Utah and active in the NPI registry since December 2016. The organization lists Kerrylynn Baca-pelphrey, Cco, Exec Dir Payor Relations, as its authorized official.

NPPES Registry Identity

NPI1619412046
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameAWAKENING BEHAVIORAL HEALTH, LLC
Location Address2973 W 13800 SBluffdale, UT 84065-8202
Mailing Address2973 W 13800 SBluffdale, UT 84065-8202
Phone(801) 545-0406
Organization SubpartYes
Authorized OfficialKerrylynn Baca-pelphreyCco, Exec Dir Payor Relations · (801) 658-9646
Enumeration DateDecember 20, 2016
Last NPPES UpdateMarch 30, 20205 updates tracked since enumeration
NPPES CertifiedMarch 30, 2020
✔ NPI 1619412046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in UT · 26066
Definition
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.
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
2973 W 13800 S, Bluffdale, UT 84065
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Other Names 2

Doing Business AsRenaissance Ranch Treatment Centers
Doing Business AsRenaissance Ranch Bluffdale Men's Program, Llc

Other Identifiers 2

Other1568909117Npi For Specific Facility Renaissance Ranch Bluffdale Men's Program, Llc
Other51983UT · State Of Utah Human Services

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACOB FERGESON
Counselor (Addiction (Substance Use Disorder))
2973 W 13800 S
BLUFFDALE, UT 84065
Salt Lake County (801) 545-0406
MR. LANE CANNON PORTER CMHC
Counselor (Mental Health)
2973 W 13800 S
BLUFFDALE, UT 84065
Salt Lake County (801) 577-4804
MATTHEW PIPER
Counselor (Addiction (Substance Use Disorder))
2973 W 13800 S
BLUFFDALE, UT 84065
Salt Lake County (801) 545-0406
RENAISSANCE RANCH BLUFFDALE MEN'S PROGRAM
Substance Abuse Rehabilitation Facility
2973 W 13800 S
BLUFFDALE, UT 84065
Salt Lake County (801) 545-0406
BRYCE RODABOUGH
Counselor (Addiction (Substance Use Disorder))
2973 W 13800 S
BLUFFDALE, UT 84065
Salt Lake County (801) 545-0406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Awakening Behavioral Health, LLC's NPI number?

The NPI number for Awakening Behavioral Health, LLC is 1619412046. It was assigned to this organization in the NPPES registry on December 20, 2016. The provider is doing business as Renaissance Ranch Treatment Centers and Renaissance Ranch Bluffdale Men's Program, LLC.

Where is Awakening Behavioral Health, LLC located?

Awakening Behavioral Health, LLC is located at 2973 W 13800 S, Bluffdale, UT 84065. The listed phone number is (801) 545-0406.

What is Awakening Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

What insurance does Awakening Behavioral Health, LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Awakening Behavioral Health, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Awakening Behavioral Health, LLC was last updated on March 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.