RENEWED HORIZONS, LLC


Address: 610 W Hubbard St, Bay 218, Coeur D Alene, ID 83814-2285
Phone: 2192633141

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251C00000X Day Training, Developmentally Disabled Services DDA-999 ID Agencies

Other Provider Identifier

State Issuer Identifier Type Code
ID DDA-999 05

Other Provider IDs and Locations

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

Office Location

Street Address 610 W HUBBARD ST
BAY 218
City COEUR D ALENE
State ID
Zip Code 83814-2285

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 251C00000X
Grouping Agencies
Classification Day Training, Developmentally Disabled Services

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City COEUR D ALENE
Zip Code 83814

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Dataset Information

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.

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